Danielle Marie Ciccone- Coutre, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071009251 Issued in IL

Practice address

419 Center St Ste C
Grayslake, IL 60030-1645

Phone

(262) 412-7302

NPI assigned

Mar 11, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Neurorehab Psychology Consultants, LLC

  • Rehabilitation Psychologist
  • Grayslake, IL
  • NPI 1245742865
  Medicare reassignment NPD Authorized official
• Hilltop Haven Inc

  • Clinical Neuropsychologist
  • Richmond, IL
  • NPI 1477037133
  NPD (past)

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1184085573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11314 E RIVIERA DR",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600818146",
            "telephone_number": "262-412-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 CENTER ST STE C",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301645",
            "telephone_number": "262-412-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCONE- COUTRE",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian J Chebny, PT, DPT, SCS, ATC
• Sarah Estelle Chenier Nobles, INTERN
• Chestmed S.C.
• Chinni Chilamkurti, PH.D.
• Linda Chung, PHARMD
• Emily Ciesil, LPC
• Belkis Cirar
• Citywide Smiles, P.C.
• Theresa Clanton, LCPC
• Angelita Clark, LCSW

• Clinical Psychologist in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.