Active NPI
Dana Pauley LCPC LLC
- Professional Counselor
- Cortland, IL
National Provider Identifier
1114733490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- DANA PAULEY LCPC LLC
- Practice address
- 155 W Prairiefield Ave
Cortland, IL 60112-4142 - Phone
- (630) 217-0442
- NPI assigned
- Dec 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dana Pauley, LCPC
- Title
- Owner
- Phone
- (630) 217-0442
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
155 W Prairiefield Ave
Cortland, IL 60112-4142
Mailing address
155 W Prairiefield Ave
Cortland, IL 60112-4142
Phone (630) 217-0442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250623002199 | IL | Part B Supplier - Clinic/Group Practice | 4082126438 |
Receives reassigned benefits from 1 practitioner Practice locations: St Charles, IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733788800000",
"number": "1114733490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 W PRAIRIEFIELD AVE",
"city": "CORTLAND",
"state": "IL",
"postal_code": "601124142",
"telephone_number": "630-217-0442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 W PRAIRIEFIELD AVE",
"city": "CORTLAND",
"state": "IL",
"postal_code": "601124142",
"telephone_number": "630-217-0442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANA PAULEY LCPC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-10",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A",
"authorized_official_last_name": "PAULEY",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-217-0442",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cortland, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.