MS. SUSAN L ROBERTS (NPI# 1750354445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750354445 |
| Entity Type | Individual |
| Full Name | MS. SUSAN L ROBERTS |
| Credential | MA, NCC, LCPC |
| Practice Address |
151 W Lincoln Hwy Suite C Dekalb IL 60115-3680 |
| Practice Telephone | 8157549777 |
| Mailing Telephone | 8157549777 |
| Enumeration Date | 2006-02-11 |
| Last Update Date | 2008-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
180004201 | IL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
180-004201 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | UNITED BEHAVIORAL HEALTH | 364460074 | 01 |
| IL | BLUE CROSS BLUE SHIELD | 01932002 | 01 |
| IL | HEALTH ALLIANCE | 091193 | 01 |
| IL | MAGELLAN BEHAVIORALHEALTH | 486660000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588952923 | Susan Roberts | Behavioral Analyst | 68 Stevens Ave, Old Bridge, NJ 08857-2247 | 2011-07-19 |
| 1043511637 | Susan Lloyd Roberts | Occupational Therapist | 3527 Utopia Pkwy, Flushing, NY 11358-2309 | 2010-11-12 |
| 1497070056 | Susan M Roberts | Pharmacist | 2933 E 56th Ct, Tulsa, OK 74105-7431 | 2010-04-06 |
| 1659548386 | Susan C. Roberts | Social Worker | 1919 7th St, Boulder, CO 80302 | 2008-05-12 |
| 1326235730 | Susan K Roberts | Registered Nurse | N9520 Black River Ln, Bessemer, MI 49911-9781 | 2007-09-29 |
| 1639384084 | Susan Sammon Roberts | Counselor | 211 Woodland Blvd, Boerne, TX 78006-8986 | 2007-05-11 |
| 1194892984 | Susan E Roberts | Audiologist | 4525 Central School Rd, Saint Charles, MO 63304-7113 | 2006-11-29 |
| 1982776720 | Susan A. Roberts | Internal Medicine | 1500 E Woodrow Wilson Ave # 11, Jackson, MS 39216-5116 | 2006-11-15 |
| 1114023736 | Susan Merlene Roberts | Dentist | 6650 N Beach, #118, Ft Worth, TX 76137 | 2006-09-15 |
| 1912921610 | Susan Hope Roberts | Counselor | 1140 Mayberry Drive, Tahlequah, OK 74464-4603 | 2006-07-26 |
| Street Address |
151 W LINCOLN HWY SUITE C |
| City | DEKALB |
| State | IL |
| Zip Code | 60115-3680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174941603 | Veronica Glickman | Occupational Therapist | 151 W Lincoln Hwy, Suite E, Dekalb, IL 60115-3680 | 2014-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
| 1689141616 | Stephanie Klewin | Psychologist | 631 S 1st Street, Dekalb, IL 60115 | 2018-10-29 |
| 1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
| 1497235824 | Cory David Michael Hayden | Specialist/Technologist | 175 Yordon Center (niu Athletic Training), Dekalb, IL 60115 | 2018-08-15 |
| 1154807808 | Michael John Borak | Pharmacist | 975 S Annie Glidden Road, Schnucks Market Inc, Dekalb, IL 60115 | 2018-07-16 |
| 1184125841 | Candace Schroeffel | Student in an Organized Health Care Education/Training Program | 520 Garden Rd, Dekalb, IL 60115 | 2018-02-27 |
| 1033627583 | Hannah M Studebaker | Massage Therapist | 3266 Sycamore Road, Dekalb, IL 60115 | 2018-01-18 |
| 1649700238 | Jennifer Mangino | Behavioral Analyst | 138 Berkshire Dr, Dekalb, IL 60115 | 2017-06-15 |
| 1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
| 1194263848 | Brianna Kraft | Specialist/Technologist | 900 Crane Dr, Dekalb, IL 60115 | 2017-02-02 |
| Find all providers in zip 60115 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
| 1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
| 1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
| 1689109837 | Monique Shante Shaw | Counselor | 2487 Alpha Ct W, Dekalb, IL 60115-5827 | 2017-04-25 |
| 1972946028 | Michael William Elgersma | Counselor | 1500 E Lincoln Hwy Ste 1, Dekalb, IL 60115-3990 | 2013-04-09 |
| 1326391806 | Thomas Mark Kuchynka | Counselor | 1134 Gifford St, Dekalb, IL 60115-4465 | 2012-10-20 |
| 1538432521 | Mark Daniel Lindsey | Counselor | 1400 W Lincoln Hwy, Dekalb, IL 60115-2831 | 2012-02-22 |
| 1932336674 | Jessica Rojas | Counselor | 221 W Lincoln Hwy, Dekalb, IL 60115-3688 | 2009-06-21 |
| 1114126018 | Karyanna Salentine | Counselor | 431 Russell Rd Apt 1, Dekalb, IL 60115-2290 | 2007-07-12 |
| 1255497491 | Sue E. Ouellette | Counselor | 400 E Hillcrest Dr, Suite 100a, Dekalb, IL 60115-2480 | 2006-12-30 |
| Find all providers in DEKALB | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.