Active NPI
Chicagoland Counseling PLLC
- Clinical Social Worker
- Aurora, IL
National Provider Identifier
1265215925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CHICAGOLAND COUNSELING PLLC
- Practice address
- 1315 N Highland Ave Ste 202
Aurora, IL 60506-1460 - Phone
- (630) 394-1379
- NPI assigned
- Aug 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dana Pavlu, LCSW
- Title
- Clinic Director
- Phone
- (630) 841-8891
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1315 N Highland Ave Ste 202
Aurora, IL 60506-1460
Mailing address
1315 N Highland Ave Ste 202
Aurora, IL 60506-1460
Phone (630) 394-1379
Other names 1
- Ellie Mental Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231025001371 | IL | Part B Supplier - Clinic/Group Practice | 5193171346 |
Receives reassigned benefits from 12 practitioners Practice locations: Burr Ridge, IL; Aurora, IL; St Charles, IL |
National Provider Directory
National Provider DirectoryLocations
745 McClintock Dr
Ste 100
Burr Ridge, IL 60527
Phone (630) 286-9556
2570 Foxfield Rd
Ste 200
St Charles, IL 60174
Phone (331) 239-2705
Practitioners & affiliated clinicians
Practitioners 21
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692144000000",
"number": "1265215925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 N HIGHLAND AVE STE 202",
"city": "AURORA",
"state": "IL",
"postal_code": "605061460",
"telephone_number": "630-394-1379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 N HIGHLAND AVE STE 202",
"city": "AURORA",
"state": "IL",
"postal_code": "605061460",
"telephone_number": "630-394-1379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHICAGOLAND COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-16",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A",
"authorized_official_last_name": "PAVLU",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "630-841-8891",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ellie Mental Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.