DANIEL SUFFOLETTA II
NPI 1366130452
Counselor - Mental Health in Chicago, IL

Active since April 26, 2023Opted out of Medicare · through Nov 5, 2026
1731 N MARCEY ST STE 510, CHICAGO, IL 60614(773) 538-3996 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel Suffoletta Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL SUFFOLETTA II (NPI 1366130452) is an individual mental health provider in Chicago, Illinois, licensed in Washington (MC61421143) and active in the NPI registry since April 2023. He has opted out of Medicare through November 5, 2026.

NPPES Registry Identity

NPI1366130452
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDANIEL SUFFOLETTA II
Location Address1731 N MARCEY ST STE 510Chicago, IL 60614-7955
Mailing Address2741 N Mildred Ave Apt 2nChicago, IL 60614-8147
Sole ProprietorNo
Enumeration DateApril 26, 2023
NPPES CertifiedApril 26, 2023
NPI 1366130452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WA · MC61421143
1731 N MARCEY ST STE 510, Chicago, IL 60614

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Daniel Suffoletta Ii has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 5, 2024 through November 5, 2026.

Opt-Out Effective DateNovember 5, 2024
Opt-Out In Effect ThroughNovember 5, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
1731 N MARCEY ST STE 510
CHICAGO, IL 60614
Social Worker (Clinical)
1731 N MARCEY ST STE 510
CHICAGO, IL 60614
Marriage & Family Therapist
1731 N MARCEY ST STE 510
CHICAGO, IL 60614
Counselor (Professional)
1731 N MARCEY ST STE 510
CHICAGO, IL 60614
Social Worker
1731 N MARCEY ST STE 510
CHICAGO, IL 60614
Counselor (Professional)
1731 N MARCEY ST STE 510
CHICAGO, IL 60614
Social Worker (Clinical)
1731 N MARCEY ST STE 510
CHICAGO, IL 60614
Counselor (Professional)
1731 N MARCEY ST STE 510
CHICAGO, IL 60614

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Suffoletta's NPI number?

The NPI number for Daniel Suffoletta is 1366130452. It was assigned to this individual provider in the NPPES registry on April 26, 2023.

Where is Daniel Suffoletta located?

Daniel Suffoletta practices at 1731 N Marcey St Ste 510, Chicago, IL 60614. The listed phone number is (773) 538-3996.

What is Daniel Suffoletta's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Daniel Suffoletta enrolled in Medicare?

No. Daniel Suffoletta has opted out of Medicare through November 5, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Daniel Suffoletta was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.