Individual provider Active NPI

Marlene Anne Waldner, LCPC MS

  • Addiction (Substance Use Disorder) Counselor
  • Downers Grove, IL
National Provider Identifier
1114073509
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1262 Issued in IL
Practice address
601 65TH Street
Downers Grove, IL 60516-3021
Phone
(630) 852-8873
Fax
(630) 852-8873
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1262 IL Primary
Professional Counselor 101YP2500X IL

Addresses

Primary practice location

601 65TH Street
Downers Grove, IL 60516-3021

Mailing address

601 65TH Street
Downers Grove, IL 60516-3021
Phone (630) 852-8873

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

State licenses

LicenseStateTypeSpecialty
1262ILMDAddiction (Substance Use Disorder) Counselor
180004023ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Waldner and Associates Past 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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1114073509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 65TH STREET",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163021",
            "telephone_number": "630-852-8873",
            "fax_number": "630-852-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 65TH STREET",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163021",
            "telephone_number": "630-852-8873",
            "fax_number": "630-852-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDNER",
        "first_name": "MARLENE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LCPC MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "1262",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.