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Active NPI 1548348659 Individual Practitioner Female Practitioner

Susan M Keogh , LCPC

Counselor - Professional • Normal, IL

Professional Overview & Biography Verified Profile Summary

Susan Keogh, LCPC is a registered healthcare professional specializing in Counselor - Professional in Normal, IL. Practice services are available at 405 KAYS DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

405 Kays Drive
Suite B

Normal, IL 61761

Telephone 3098620064
Fax 3098621542
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Normal, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
41 Specialists

Practicing in Normal, IL (9683 Statewide)

Telehealth Adoption Rate
4.9% 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

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180001161

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Health Alliance
101694
Commercial Insurance / Payer ID Bcbs
5723204
Commercial Insurance / Payer ID Mhn
202808

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Karen Bandusch Harris , PA-C

Physician Assistant

NPI 1003994104

Physician Assistant (Certified)

Dr. Virginia Moody , MD

Psychiatry & Neurology - Psychiatry

NPI 1255419362

Doctor of Medicine (M.D.)

Jacquelyn Mitra , LCPC

Counselor - Mental Health

NPI 1619121373

Licensed Clinical Professional Counselor

Dawn Leedie , LPCP

Counselor - Professional

NPI 1881820405
Dr. Raju Paturi , MD

Psychiatry & Neurology - Psychiatry

NPI 1912085010

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 19, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2012

Registered at 405 KAYS DRIVE, SUITE B, NORMAL, IL 61761 (Tel: 3098620064)

📍
Updated Business Mailing Address June 19, 2012

Registered at 405 KAYS DRIVE, SUITE B, NORMAL, IL 61761 (Tel: 3095323390)

👤
Provider Name / Credentials Updated June 19, 2012

Recorded as SUSAN KEOGH, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2012

Counselor (License #180001161 in IL)

🟢
Initial NPI Registration & Enumeration November 02, 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: 1548348659
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2006
Last Update: June 19, 2012
Sole Proprietor: No

Mailing Address

405 Kays Drive, Suite B

Normal, IL 61761

Phone: 3095323390

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.