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

MS. Mary Susan Fidale, LCPC, RNC

Individual provider Professional Counselor · NPI 1023467420

MS. Mary Susan Fidale, LCPC, RNC is a Professional Counselor in Long Grove, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2016
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

4160 Rt 83 Ste 206
Long Grove, IL 60047-9585
Phone: (847) 217-6190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180.003182 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041.211850 (IL)

Record details

NPI number1023467420
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC , RNC
Sole proprietorYes
NPI enumeratedJune 7, 2016
Last updated in NPPESJune 7, 2016

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