Michele Decanio, L.C.P.C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1616 E. Roosevelt Rd
Wheaton, IL 60187

Phone

(630) 588-1201

NPI assigned

Dec 24, 2007

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rodasi LLC

  • Mental Health Counselor
  • Hoffman Estates, IL
  • NPI 1467691790

  Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1104000306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 RODENBURG RD",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601721645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E. ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60187",
            "telephone_number": "630-588-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECANIO",
        "first_name": "MICHELE",
        "credential": "L.C.P.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• De la Fuente, DMD P.C.
• Vanessa De la Mora, LCSW
• Dean a. Francis, D.D.S., P.C.
• Diana Rose Dean
• Priscilla E Dean, LPC
• Mary Dee
• Antoinette A Deja
• Estefany N Delgado, LPN
• Maria I Delgado, RBT-18-59826
• Samuel D Delisi, M.D.

• Professional Counselor in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.