Miss Shantrell Patrice Sutton
Counselor (Professional)

Address: 5042 W Erie St, Chicago, IL 60644-1604
Phone: 7732082666

Miss Shantrell Patrice Sutton (NPI# 1609477579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1609477579
Entity Type Individual
Full Name Miss Shantrell Patrice Sutton
Credential LPC, NCC
Gender Female
Practice Address 5042 W Erie St
IL 60644-1604
Practice Telephone 7732082666
Mailing Address 5042 W Erie St
IL 60644-1604
Mailing Telephone 7732082666
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-11-05
Last Update Date 2020-11-05

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101YP2500X Counselor · Professional Behavioral Health & Social Service Providers 178016427 IL

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Office Location

Street Address 5042 W ERIE ST
State IL
Zip Code 60644-1604

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710535638 Marta Yvonne Palmer Technician 5008 W Adams, Chicago, IL 60644 2019-09-04
1861056848 B U I L D Incorporated Social Worker 5100 W Harrison St., Chicago, IL 60644 2019-04-25
1851806269 Habilitative Systems, Inc. Case Management 4732 W Ohio St, Chicago, IL 60644 2017-12-07
1336408665 Meghan Nancy Daw Dietitian, Registered 646 S Central Ave, Chicago, IL 60644 2012-05-07
1164790515 Elizabeth Eleanor Reid-tate Pharmacist 5222 W. Madison Avenue, Chicago, IL 60644 2011-12-13
1134458466 Power Teen Program Psychologist 300 N Central Ave, Chicago, IL 60644 2009-12-16
1417198342 Betty Jean Lofton Counselor 5938 W. Midway Park, Chicago, IL 60644 2009-03-24
1881856094 Sanjay M. Patel M.d. S.c. Psychiatry & Neurology 5730 W. Roosevelt Road, Chicago, IL 60644 2008-06-29
1639348691 Ysl Care, Inc Community Based Residential Treatment Facility, Mental Illness 5107-21 West Jackson Blvd, Chicago, IL 60644 2008-02-25
1073795845 Maryanne Rakidzioski Occupational Therapist 5103 W Jackson Blvd, Chicago, IL 60644 2007-12-03
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Zip Code 60644

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Dataset Information

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.