Individual provider Active NPI

Therese Draper, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hoffman Estates, IL
National Provider Identifier
1104201755
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.023420 Issued in IL
Practice address
1786 Moon Lake Blvd
Hoffman Estates, IL 60169-5029
Phone
(847) 843-2000
NPI assigned
Jul 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0029213 OH
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 041.359182 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.023420 IL Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN.494470 OH

Addresses

Primary practice location

1786 Moon Lake Blvd
Hoffman Estates, IL 60169-5029

Mailing address

1786 Moon Lake Blvd
Hoffman Estates, IL 60169-5029

Other practice location 1

8940 Kingsridge Dr Ste 106
Dayton, OH 45458-1632
Phone (937) 813-4485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211001002896 IL Practitioner - Nurse Practitioner 9133527393 Reassigns benefits to 1 organization
I20260309000371 OH Practitioner - Nurse Practitioner 9133527393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alexian Brothers Behavioral Health HospitalGroup PAC ID 9537062138, 55 clinicians
Midwest Counseling Centers of OhioGroup PAC ID 1759798366, 10 clinicians

Practice addresses (Care Compare)

1650 Moon Lake Blvd
Hoffman Estates, IL 60169-1010
Phone (847) 755-8090

1786 Moon Lake Blvd
Suite 104
Hoffman Estates, IL 60169-1016
Phone (847) 755-8090

8940 Kingsridge Dr
Suite 106
Dayton, OH 45458-1632
Phone (937) 813-4485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.494470OHMDPsychiatric/Mental Health Registered Nurse
041.359182ILMDAdult Psychiatric/Mental Health Registered Nurse
209.023420ILMDPsychiatric/Mental Health Nurse Practitioner
APRN.CNP.0029213OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alexian Brothers Behavioral Health Hospital Psychiatric/Mental Health CurrentSince Oct 1, 2021 Accepting new patients
Midwest Counseling Centers of Ohio Psychiatric/Mental Health CurrentSince Jan 25, 2026 Accepting new patients
Association for Individual Development PastSince Mar 25, 2016 Accepting new patients
Association for Individual Development Past Accepting new patients

Locations

1650 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (800) 432-5005

1786 Moon Lake Blvd
Ste 104
Hoffman Estates, IL 60169

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

8940 Kingsridge Dr
Ste 106
Dayton, OH 45458
Phone (937) 432-9130

Interoperability endpoints

  • Direct secure messaging: therese.draper.1@15182.direct.athenahealth.com

Organizations & group practices 4

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": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1104201755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1786 MOON LAKE BLVD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601695029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 MOON LAKE BLVD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601695029",
            "telephone_number": "847-843-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8940 Kingsridge Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454581632",
            "country_code": "US",
            "telephone_number": "937-813-4485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "THERESE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0029213",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "IL",
            "license": "041.359182",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.023420",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN.494470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.