Dunham Counseling Center, LTD.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.012296 Issued in IL

Legal business name

DUNHAM COUNSELING CENTER, LTD.

Practice address

451 Dunham Rd
Suite 400
St Charles, IL 60174-1431

Phone

(630) 444-1801

Fax

(630) 444-1802

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Gerard Larson, LCSWNPI 1154657245

Title

President

Phone

(630) 444-1801

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erin Joan Cluts, MSW, LCSW

  • Clinical Social Worker
  • St Charles, IL
  • NPI 1104077189
  Medicare reassignment Care Compare group NPD
• Krista Sherinian, LCSW

  • Clinical Social Worker
  • Naperville, IL
  • NPI 1932250347
  Medicare reassignment Care Compare group NPD
• Jeffrey Gerard Larson

  • Clinical Social Worker
  • Saint Charles, IL
  • NPI 1154657245
  NPD (past) Authorized official
• Jeff B Lucas, LCPC

  • Addiction (Substance Use Disorder) Counselor
  • Naperville, IL
  • NPI 1861543423
  NPD
• Sanjay Lucas, LSW

  • Mental Health Counselor
  • Naperville, IL
  • NPI 1447988571
  NPD
• Laura Elizabeth Larson, LCSW

  • Clinical Social Worker
  • St Charles, IL
  • NPI 1841477676
  NPD (past)
• Christian Robert Locke, LCSW

  • Clinical Social Worker
  • Naperville, IL
  • NPI 1407949720
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1235255993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 DUNHAM RD",
            "address_2": "SUITE 400",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741431",
            "telephone_number": "630-444-1801",
            "fax_number": "630-444-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 DUNHAM RD",
            "address_2": "SUITE 400",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741431",
            "telephone_number": "630-444-1801",
            "fax_number": "630-444-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNHAM COUNSELING CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-444-1801",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012296",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.005583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Drescher-Crumpley, DNP, CNM, PMHNP-BC
• Jocelyn Droege, PH.D.
• Erin Dubba, LCPC, ATR, MS, MA
• Dukane Allergy Associates. LTD
• Dukane Obstetrics & Gynecology LTD
• Jennifer Dunlap, RBT
• Courtney Duran
• Crystal Duran
• Kaylee Marie Durdan
• Katherine Dybas, RBT

• Clinical Social Worker in St Charles, IL
• Providers in St Charles, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.

Verify at the official NPI Registry.