NPI 1306811682 · live from the CMS NPI Registry
Susan C Borrelli, LCPC,LMFT,CMADC,MPS
Counselor, Professional in Chicago, IL. National Provider Identifier 1306811682, active.
NPI record
| NPI | 1306811682 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 7200 N Osceola Ave, Chicago, IL 60631 |
| Practice phone | 773-763-4999 |
| Enumerated | February 21, 2006 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | 180-004083 (IL) |
| Counselor, Professional primary | 101YP2500X | 180-004083 (IL) |
| Marriage & Family Therapist | 106H00000X | 166-000116 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.