Individual provider Active NPI

Darcy Wexelbaum

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1194016766
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.007549 Issued in IL
Practice address
3380 Lacrosse LN Ste 116
Naperville, IL 60564-8520
Phone
(773) 914-1615
NPI assigned
Apr 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.007549 IL Primary

Addresses

Primary practice location

3380 Lacrosse LN Ste 116
Naperville, IL 60564-8520

Mailing address

3380 Lacrosse LN Ste 116
Naperville, IL 60564-8520
Phone (773) 914-1615

Other practice location 1

1415 Bond St Ste 127
Naperville, IL 60563-2769
Phone (630) 355-9002

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
180.007549ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Darcy Rae Wexelbaum LCPC PC Professional CurrentSince Feb 1, 2023 Accepting new patients
Dr Susan B Myket PC PastSince Apr 13, 2026 Accepting new patients
New Day Treatment Program PC Past Accepting new patients

Locations

3380 Lacrosse Ln
Ste 116
Naperville, IL 60564
Phone (773) 914-1615

Organizations & group practices 3

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": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1194016766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 LACROSSE LN STE 116",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648520",
            "telephone_number": "773-914-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 LACROSSE LN STE 116",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648520",
            "telephone_number": "773-914-1615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Bond St Ste 127",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605632769",
            "country_code": "US",
            "telephone_number": "630-355-9002",
            "fax_number": "866-441-1136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEXELBAUM",
        "first_name": "DARCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.