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Susan Alexandra Rivera , LCPC

Counselor - Professional β€’ Chicago, IL

Active NPI 1104540335 Individual Practitioner Female Practitioner
Practice location in NPPES

1713 S Ashland Ave
Chicago, IL 606082014

Call 3127421955 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1713 S Ashland Ave

Chicago, IL 606082014

Telephone 3127421955
Organization at the Same NPPES Address or Phone
City Of Chicago Facility NPI 1417959800

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chicago and Illinois

2,501 active clinicians are listed under Counselor - Professional with a practice address in Chicago, IL (9,736 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

1.7% of these 2,501 clinicians have the CMS telehealth indicator.

5.4% of these 2,501 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-04
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 180.016392
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Luis Rivera , MD

Family Medicine

NPI 1619396371

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location December 04, 2024

Registered at 1713 S ASHLAND AVE, CHICAGO, IL 606082014 (Tel: 3127421955)

πŸ“
Updated Practice Location September 27, 2024

Registered at 1105 S WESTERN AVE, CHICAGO, IL 606124146 (Tel: 3127441157)

πŸ“
Updated Business Mailing Address September 27, 2024

Registered at 1105 S WESTERN AVE, CHICAGO, IL 606124146 (Tel: 3127441157)

πŸ‘€
Provider Name / Credentials Updated September 27, 2024

Recorded as SUSAN RIVERA, LCPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2024

Counselor (license number reported to NPPES: IL 180.016392)

πŸ‘€
Provider Name / Credentials Updated March 05, 2024

Recorded as SUSAN RIVERA, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2024

Counselor (license number reported to NPPES: IL 178.019169)

βœ…
NPI Profile Active September 30, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 30, 2022

Registered at 2310 W ROOSEVELT RD, CHICAGO, IL 606081131 (Tel: 3122172870)

πŸ“
Business Mailing Address (Initial Record) September 30, 2022

Registered at 2310 W ROOSEVELT RD, CHICAGO, IL 606081131

πŸ‘€
Provider Name / Credentials (Initial Record) September 30, 2022

Recorded as SUSAN RIVERA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2022

Counselor

🟒
Initial NPI Registration & Enumeration September 30, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104540335
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2022
Last Update: December 04, 2024
Sole Proprietor: No

Other Counselor - Professionals in Chicago

All Counselor - Professionals in Chicago

Mailing Address

1105 S Western Ave

Chicago, IL 606124146

Phone: 3127441157

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.