SUSAN S DAVIS LCPC
NPI 1811271679
Counselor - Mental Health in Wheaton, IL

Active since September 28, 2011PECOS Enrolled
111 N COUNTY FARM RD, WHEATON, IL 60187(630) 682-7979 Get Directions Write a Review

NPPES record last updated: January 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Susan S Davis Lcpc NPPES

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

SUSAN S DAVIS LCPC (NPI 1811271679) is an individual mental health provider in Wheaton, Illinois, licensed in Illinois (180000861) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811271679
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSUSAN S DAVISCredential: LCPC
Location Address111 N COUNTY FARM RDWheaton, IL 60187-3977
Mailing Address111 N County Farm RdWheaton, IL 60187-3977 · (630) 682-7979
Sole ProprietorNo
Enumeration DateSeptember 28, 2011
Last NPPES UpdateJanuary 25, 2025
NPPES CertifiedJanuary 25, 2025
✔ NPI 1811271679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180000861
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 180.000861 (IL)
111 N COUNTY FARM RD, Wheaton, IL 60187

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan S Davis Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Susan Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
2948 ARTESIAN RD STE 112
Naperville, IL 60564
  • Reassigned Medicare billing, Illinois enrollment
  • 475 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Case Manager/Care Coordinator
111 N COUNTY FARM RD
WHEATON, IL 60187
Registered Nurse
111 N COUNTY FARM RD
WHEATON, IL 60187
Case Manager/Care Coordinator
111 N COUNTY FARM RD
WHEATON, IL 60187
Counselor (Mental Health)
111 N COUNTY FARM RD
WHEATON, IL 60187
Psychiatry & Neurology (Psychiatry)
111 N COUNTY FARM RD
WHEATON, IL 60187
Clinic/Center (Federally Qualified Health Center (FQHC))
111 N COUNTY FARM RD
WHEATON, IL 60187
Case Manager/Care Coordinator
111 N COUNTY FARM RD
WHEATON, IL 60187
Registered Nurse
111 N COUNTY FARM RD
WHEATON, IL 60187

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 Susan Davis's NPI number?

The NPI number for Susan Davis is 1811271679. It was assigned to this individual provider in the NPPES registry on September 28, 2011.

Where is Susan Davis located?

Susan Davis practices at 111 N County Farm Rd, Wheaton, IL 60187. The listed phone number is (630) 682-7979.

What is Susan Davis's specialty?

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

Is Susan Davis enrolled in Medicare?

Yes. Susan Davis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Davis reassigns Medicare benefits to Edgewood Clinical Services, P.C. (Naperville, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Davis was last updated on January 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.