Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Codie Surratt

Individual provider Counselor · NPI 1679024061

Codie Surratt is a Mental Health Counselor in Glen Ellyn, Illinois. Qualified in 2012, 14 years ago. Practices with Life Care Wellness, Inc, a 14-clinician group and accepts Medicare assignment.

Years since qualifying
14
In the registry since
2016

Practice location Address checks out

800 Roosevelt Rd Ste 206
Glen Ellyn, IL 60137-5839
Phone: (630) 423-5935
Fax: (630) 545-3630
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1679024061
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 20, 2016
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024
Mailing address520 Wilshire Ave, Glen Ellyn, IL 60137-4944

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Life Care Wellness, Inc. — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glen Ellyn