Individual provider Active NPI

John Komperda

  • Professional Counselor
  • Lombard, IL
National Provider Identifier
1245607506
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.010660 Issued in IL
Practice address
2200 S Main St Ste 217E
Lombard, IL 60148-5334
Phone
(708) 715-8448
NPI assigned
Aug 21, 2015
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.007948 IL
Professional Counselor 101YP2500X 180.010660 IL Primary

Addresses

Primary practice location

2200 S Main St Ste 217E
Lombard, IL 60148-5334

Mailing address

427 Countryside Dr
Wheaton, IL 60187-3212
Phone (630) 770-5134

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241219000965 IL Practitioner - Mental Health Counselor 3971030735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2200 S Main St
Suite 217E
Lombard, IL 60148-5334
Phone (630) 770-5134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.007948ILMDMental Health Counselor
180.010660ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Family Counseling LLC Mental Health CurrentSince Jan 1, 2018 Accepting new patients

Locations

2200 S Main St
Ste 217E
Lombard, IL 60148
Phone (630) 770-5134

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1245607506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 COUNTRYSIDE DR",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873212",
            "telephone_number": "630-770-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S MAIN ST STE 217E",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485334",
            "telephone_number": "708-715-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMPERDA",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-21",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.007948",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.