Shu-Han Su, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.014568 Issued in IL

Practice address

4946 Douglas Rd Apt 101
Downers Grove, IL 60515-3879

Phone

(312) 218-3360

NPI assigned

Jan 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1912461864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4946 DOUGLAS RD APT 101",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4946 DOUGLAS RD APT 101",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153879",
            "telephone_number": "312-218-3360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 N Clark St Ste 2650",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606025104",
            "country_code": "US",
            "telephone_number": "312-558-5310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4237 W 95th St",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604532623",
            "country_code": "US",
            "telephone_number": "312-218-3360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 W Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "Chicago Heights",
            "state": "IL",
            "postal_code": "604112442",
            "country_code": "US",
            "telephone_number": "708-755-5117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SU",
        "first_name": "SHU-HAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.014568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.