Individual provider Active NPI

Susan D Hanson, LCPC

  • Professional Counselor
  • St Charles, IL
National Provider Identifier
1922252568
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180010653 Issued in IL
Practice address
1718 Jeanette Ave
St Charles, IL 60174-4664
Phone
(630) 340-2351
NPI assigned
Nov 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178002054 IL
Professional Counselor 101YP2500X 180010653 IL Primary
Professional Counselor 101YP2500X 178.002054 IL

Addresses

Primary practice location

1718 Jeanette Ave
St Charles, IL 60174-4664

Mailing address

1718 Jeanette Ave
St Charles, IL 60174-4664
Phone (630) 340-2351

Other identifiers 1

IdentifierTypeStateIssuer
SUSANHANSON3MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL direct Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250407003367 IL Practitioner - Mental Health Counselor 4981128386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

1405 W Park St
Urbana, IL 61801-2367
Phone (217) 337-3240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178002054ILMDMental Health Counselor
178.002054ILMDProfessional Counselor
180010653ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Promise Healthcare NFP CurrentSince Mar 15, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Promise Healthcare NFP CurrentSince Mar 15, 2025 Accepting new patients
Promise Healthcare NFP Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Oct 23, 2025 Accepting new patients

Locations

819 Bloomington Rd
Champaign, IL 61820
Phone (217) 356-1558

821 S Neil St
Champaign, IL 61820
Phone (217) 356-1558

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1405 W Park St
Urbana, IL 61801
Phone (217) 337-3240

Interoperability endpoints

  • Direct secure messaging: susan.hanson.p11@direct.fhn-fqhc.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1922252568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 JEANETTE AVE",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601744664",
            "telephone_number": "630-340-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 JEANETTE AVE",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601744664",
            "telephone_number": "630-340-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "SUSAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178002054",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010653",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.002054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUSANHANSON3",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "direct",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1718 Jeanette Ave",
            "city": "St Charles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601744664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.