SUSAN M. REITSMA – Professional Counselor, NPI 1174644041

SUSAN M. REITSMA is a healthcare provider. based in Joliet, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 180000782 (IL). The NPI Number for SUSAN M. REITSMA is 1174644041

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN M. REITSMA
NPI
1174644041
Phone
(815) 727-8521
Address
501 ELLA AVENUE
Enumeration Date
2 April 2007
Deactivation Date
1 May 2013
Reactivation Date
14 September 2023
Last Update Date
14 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7082691516
Graduation Year
1988 (38 years ago)
PAC ID
9234574773
Group Practice PAC ID
3971997735
Professional Enrollment ID
I20240223003575
Address ID
IL604231279FR10217HWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for SUSAN M. REITSMA

  • 501 ELLA AVENUE

    JOLIET, IL 604332799

    Phone: (815) 727-8521

    Type: Location

  • 44 TOWNCENTER

    UNIVERSITY PARK, IL 604662800

    Phone: (708) 534-0800

    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: 2024-02-23

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
I20240223003575IMental 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 60433)

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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: 3971997735View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

What NPI should I save for SUSAN M. REITSMA?
Save NPI 1174644041 if you need a stable reference for SUSAN M. REITSMA.
Does this profile mean SUSAN M. REITSMA is currently active?
Yes — SUSAN M. REITSMA appears active in the national provider directory.
Does SUSAN M. REITSMA list a primary specialty?
If you are matching referrals, note Professional Counselor for SUSAN M. REITSMA. Clinical services aligned with this taxonomy classification.
Where is SUSAN M. REITSMA's primary listing?
We display Joliet, Illinois because that is what the record indicates for SUSAN M. REITSMA.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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