MRS. SANDRA BROSE SUZUKI (LCPC) – Mental Health Counselor, NPI 1750588778
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,307 MENTAL HEALTH COUNSELOR in IL
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Provider Addresses for MRS. SANDRA BROSE SUZUKI (LCPC)
Lydia Childrens Home, 4300, West Irving Park Road, Irving Park, Chicago, Jefferson Township, Cook County, Illinois, 60641, United States
CHICAGO, IL 606412825
Phone: (773) 736-1447
Fax: (773) 736-6970
Type: Location
22904 LYDEN DR
ESTERO, FL 339287047
Phone: (239) 494-3951
Type: Location
6, Dunsinane Lane, Bannockburn, Illinois, 60015, United States
BANNOCKBURN, IL 600151500
Phone: (773) 736-1447
Fax: (773) 736-6970
Type: Mailing
16184 EDGEMONT DR
FORT MYERS, FL 339083652
Phone: (847) 284-0636
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: 2025-05-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250521003489 | I | Mental Health Counselor | FL | TBD |
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.
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 60641)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | FL | |
| Mental Health Counselor | FL | |
| Mental Health Counselor | FL | |
| Physician Assistant | WA | |
| Clinical Social Worker | VA |
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