Individual provider Active NPI

Randy Dionne, L.C.P.C.

  • Mental Health Counselor
  • Springfield, IL
National Provider Identifier
1144330481
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180-005353 Issued in IL
Practice address
1711 S 5TH St
Springfield, IL 62703-3116
Phone
(217) 585-8500
Fax
(217) 585-8600
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180-005353 IL Primary

Addresses

Primary practice location

1711 S 5TH St
Springfield, IL 62703-3116

Mailing address

1711 S 5TH St
Springfield, IL 62703-3116
Phone (217) 585-8500

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

LicenseStateTypeSpecialty
180-005353ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Get a Life Coaching and Counseling Services, P.C. Mental Health Current Accepting new patients

Locations

1711 S 5th St
Springfield, IL 62703
Phone (217) 585-8500

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1144330481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 S 5TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627033116",
            "telephone_number": "217-585-8500",
            "fax_number": "217-585-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 S 5TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627033116",
            "telephone_number": "217-585-8500",
            "fax_number": "217-585-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIONNE",
        "first_name": "RANDY",
        "name_prefix": "Mr.",
        "credential": "L.C.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-005353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.