Active NPI
Dian Medrano, LCPC
- Counselor
- Mount Prospect, IL
National Provider Identifier
1104545102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178018225
- Practice address
- 500 W Central Rd
Mount Prospect, IL 60056-2347 - Phone
- (708) 789-5669
- NPI assigned
- Aug 23, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178018225 | IL | Primary |
Addresses
Primary practice location
500 W Central Rd
Mount Prospect, IL 60056-2347
Mailing address
4000 W Montrose Ave # Po2011
Chicago, IL 60641-2140
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178018225 | IL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1104545102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 W MONTROSE AVE # PO2011",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606412140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W CENTRAL RD",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600562347",
"telephone_number": "708-789-5669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDRANO",
"first_name": "DIAN",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-23",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178018225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.