Individual provider Active NPI

Rachel K Wagner-Cantine, LCPC

  • Mental Health Counselor
  • Westmont, IL
National Provider Identifier
1235455148
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.008394 Issued in IL
Practice address
825 N Cass Ave Ste 109
Westmont, IL 60559-6401
Phone
(309) 825-6311
NPI assigned
Apr 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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 180.008394 IL Primary

Addresses

Primary practice location

825 N Cass Ave Ste 109
Westmont, IL 60559-6401

Mailing address

8720 Coventry Dr
Woodridge, IL 60517-7502
Phone (309) 825-6311

Other names 1

  • Ms. Rachel K Wagner Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.simplepractice.com Health Information Exchange (HIE)

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
180.008394ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Creative Counseling Inc. Mental Health Current Accepting new patients

Locations

16W241 S Frontage Rd
Ste 35
Burr Ridge, IL 60527
Phone (630) 486-2341

825 N Cass Ave
Ste 109
Westmont, IL 60559
Phone (630) 300-0640

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": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1235455148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 COVENTRY DR",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605177502",
            "telephone_number": "309-825-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N CASS AVE STE 109",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605596401",
            "telephone_number": "309-825-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER-CANTINE",
        "first_name": "RACHEL",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.008394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "825 N Cass Ave Ste 109",
            "city": "Westmont",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605596401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "WAGNER",
            "middle_name": "K",
            "prefix": "MS.",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.