Active NPI
Linda Marie Sutton, M.A. LCPC
- Mental Health Counselor
- South Holland, IL
National Provider Identifier
1932454402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.008311
- Practice address
- 430 E 162ND St
#124
South Holland, IL 60473-2258 - Phone
- (708) 712-8025
- NPI assigned
- Jul 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.008311 | IL | Primary |
Addresses
Primary practice location
430 E 162ND St
#124
South Holland, IL 60473-2258
Mailing address
430 E 162ND St
#124
South Holland, IL 60473-2258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.008311 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342656000000",
"number": "1932454402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 E 162ND ST",
"address_2": "#124",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "604732258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 E 162ND ST",
"address_2": "#124",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "604732258",
"telephone_number": "708-712-8025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "LINDA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.A. LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-19",
"last_updated": "2012-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.008311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Holland, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.