Individual provider Active NPI

Cindy Crystal Danzell, MS, LCPC, NCC, PEL

  • Mental Health Counselor
  • Bolingbrook, IL
National Provider Identifier
1083174239
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
106 Jamestown LN
Bolingbrook, IL 60440-2967
Phone
(331) 575-9506
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

106 Jamestown LN
Bolingbrook, IL 60440-2967

Mailing address

106 Jamestown LN
Bolingbrook, IL 60440-2967
Phone (331) 575-9506

Other practice location 1

20635 Abbey Woods Ct N Ste 309
Frankfort, IL 60423-3217
Phone (815) 464-8210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Danzell Wellness Group, PLLC Mental Health CurrentSince Jan 21, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1083174239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 JAMESTOWN LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402967",
            "telephone_number": "331-575-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 JAMESTOWN LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402967",
            "telephone_number": "331-575-9506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20635 Abbey Woods Ct N Ste 309",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IL",
            "postal_code": "604233217",
            "country_code": "US",
            "telephone_number": "815-464-8210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANZELL",
        "first_name": "CINDY",
        "middle_name": "CRYSTAL",
        "name_prefix": "Ms.",
        "credential": "MS, LCPC, NCC, PEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.