Breda Marie Doak, M.A., LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

942 Maple Ave
Downers Grove, IL 60515-4929

Phone

(630) 585-3983

Fax

(630) 969-1565

NPI assigned

Dec 28, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003972019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 MAPLE AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154929",
            "telephone_number": "630-585-3983",
            "fax_number": "630-969-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 MAPLE AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154929",
            "telephone_number": "630-585-3983",
            "fax_number": "630-969-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAK",
        "first_name": "BREDA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.A., LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dino S Delicata MD SC
• Jeffrey M Dire, PH.D.
• Gerda Dirzyte, AU.D
• Brett Killian Dixon, PA
• DM Enterprises Group, Inc.
• Kathleen Dobersztyn, MS, ATC
• Donna C Dobrowolsky, MD
• Erick Dobrzynski, DC
• Maria T Doelman, O.D.
• Laura Anne Doherty, M.A., CCC-SLP

• Professional Counselor in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.