John Rodney Skocz, LCPC, CAADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.010250 Issued in IL

Practice address

27W350 High Lake Rd
Winfield, IL 60190-1262

Phone

(630) 933-4673

Fax

(630) 933-1933

NPI assigned

Jun 21, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1144740085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 FOXGLOVE DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026319",
            "telephone_number": "847-989-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27W350 HIGH LAKE RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901262",
            "telephone_number": "630-933-4673",
            "fax_number": "630-933-1933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1089 Dovercliff Way",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600141801",
            "country_code": "US",
            "telephone_number": "847-989-0361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "770 Foxglove Dr",
            "address_purpose": "LOCATION",
            "city": "Algonquin",
            "state": "IL",
            "postal_code": "601026319",
            "country_code": "US",
            "telephone_number": "847-989-0361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKOCZ",
        "first_name": "JOHN",
        "middle_name": "RODNEY",
        "name_prefix": "Mr.",
        "credential": "LCPC, CAADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "29055",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Winfield",
            "affiliation": "Y",
            "endpointDescription": "Northwestern Medicine/CDH-BHS",
            "affiliationName": "Central Dupage Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Winfield",
            "address_1": "27W350 High Lake Rd",
            "city": "Winfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601901262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Winfield, IL
• Providers in Winfield, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.