Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568418739 Individual Practitioner Female Practitioner

Susan Roberta Davis , LCPC, CDS

Counselor - Professional • Gurnee, IL

Professional Overview & Biography Verified Profile Summary

Susan Davis, LCPC, CDS is a registered healthcare professional specializing in Counselor - Professional in Gurnee, IL. Practice services are available at 2845 VALLEY VIEW RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2845 Valley View Rd

Gurnee, IL 600311041

Telephone 8475021007
Fax 8153019025
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Gurnee, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
41 Specialists

Practicing in Gurnee, IL (9683 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-06
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180.007623

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

State License IL 180.007623

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Psychologist - School

NUCC Taxonomy Code: 103TS0200X

State License IL SS12630298P

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Developmental Therapist

NUCC Taxonomy Code: 222Q00000X

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID D.t., Sch Psych, Evals
SS12630298P (IL)
Commercial Insurance / Payer ID Licensed Clinical Professional Counselor
180.007623 (IL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
👤
Provider Name / Credentials Updated February 06, 2025

Recorded as SUSAN DAVIS, LCPC, CDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2025

Counselor (License #180.007623 in IL)

📍
Updated Practice Location November 04, 2019

Registered at 2845 VALLEY VIEW RD, GURNEE, IL 600311041 (Tel: 8475021007)

📍
Updated Business Mailing Address November 04, 2019

Registered at 2845 VALLEY VIEW RD, GURNEE, IL 600311041 (Tel: 8475021007)

NPI Profile Active July 17, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2012

Registered at 3804 11TH ST, WINTHROP HARBOR, IL 600961461 (Tel: 8475021007)

📍
Updated Business Mailing Address July 17, 2012

Registered at 3804 11TH ST, WINTHROP HARBOR, IL 600961461 (Tel: 8475021007)

👤
Provider Name / Credentials Updated July 17, 2012

Recorded as SUSAN DAVIS, LCPC, NCSP, CDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2012

Counselor (License #180.007623 in IL)

🟢
Initial NPI Registration & Enumeration May 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568418739
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2006
Last Update: February 06, 2025
Sole Proprietor: Yes

Mailing Address

2845 Valley View Rd

Gurnee, IL 600311041

Phone: 8475021007

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.