SUSAN MARIE ANEWALT (LCPC) – Mental Health Counselor, NPI 1083297816

SUSAN MARIE ANEWALT (LCPC) is a healthcare provider. based in Homer glen, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 180.017824 (IL). The NPI Number for SUSAN MARIE ANEWALT (LCPC) is 1083297816

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN MARIE ANEWALT (LCPC)
NPI
1083297816
Phone
(708) 737-7968
Address
14933 FOUNDERS XING
Enumeration Date
29 April 2021
Last Update Date
17 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6309746602
Graduation Year
2020 (6 years ago)
PAC ID
5890281752
Group Practice PAC ID
7517395064
Professional Enrollment ID
I20251230001816
Address ID
IL600624019NO899XXBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for SUSAN MARIE ANEWALT (LCPC)

  • 14933 FOUNDERS XING

    HOMER GLEN, IL 604916712

    Phone: (708) 737-7968

    Fax: (708) 966-4244

    Type: Mailing

  • 899 SKOKIE BLVD STE 260

    NORTHBROOK, IL 600624019

    Phone: (630) 974-6602

    Fax: (630) 487-2411

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251230001816IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60491)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517395064View full group profile
NameSpecialtyState
Mental Health CounselorIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantPA
Physician AssistantIL
Clinical Social WorkerIL
Mental Health CounselorIL
Nurse PractitionerIL
Physician AssistantTX

Reviews

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Frequently asked questions

What identifier follows SUSAN MARIE ANEWALT (LCPC) across health systems?
The NPI 1083297816 uniquely identifies SUSAN MARIE ANEWALT (LCPC) in U.S. healthcare data.
Does the public listing show SUSAN MARIE ANEWALT (LCPC) as active?
SUSAN MARIE ANEWALT (LCPC)'s NPI record reflects an active status in NPPES.
What services align with SUSAN MARIE ANEWALT (LCPC)'s listing?
SUSAN MARIE ANEWALT (LCPC)'s public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to SUSAN MARIE ANEWALT (LCPC)?
SUSAN MARIE ANEWALT (LCPC) shows a connection to Homer Glen, Illinois in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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