Susan M Stutzman, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.010671 Issued in IL

Practice address

1616 E Roosevelt Rd
Suite 8
Wheaton, IL 60187-6850

Phone

(630) 588-1201

NPI assigned

Mar 9, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1912390410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 DOUBLE EAGLE DR",
            "address_2": "UNIT 311",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171755",
            "telephone_number": "312-925-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E ROOSEVELT RD",
            "address_2": "SUITE 8",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876850",
            "telephone_number": "630-588-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTZMAN",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.010671",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.010671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole M Strock, CCC-SLP
• Frederick M Stroner
• Lauren Strong, LCSW
• Christine Stuart, LPC
• Lydia Grace Stumme-Berg
• Lenora Su, MD
• Aaron Subich
• Stacy Suh
• Bridget M Sulek
• Connor J Sullivan, PA-C

• Mental Health Counselor in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.