Individual provider Active NPI

Timothy A O'Donohue, LCPC

  • Professional Counselor
  • Burr Ridge, IL
National Provider Identifier
1265600183
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-002304 Issued in IL
Practice address
241 S Frontage Rd Ste 36
Suite 36
Burr Ridge, IL 60527-6169
Phone
(630) 974-6777
Fax
(877) 204-8581
NPI assigned
Feb 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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 180-002304 IL Primary

Addresses

Primary practice location

241 S Frontage Rd Ste 36
Suite 36
Burr Ridge, IL 60527-6169

Mailing address

241 S Frontage Rd Ste 36
Burr Ridge, IL 60527-6169
Phone (630) 974-6777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180-002304ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Relationshipstore LLC CurrentSince Jul 12, 2026 Accepting new patients
Center for Contextual Change Professional PastSince Jan 1, 2007 Accepting new patients

Locations

241 S Frontage Rd
Ste 36
Burr Ridge, IL 60527
Phone (630) 974-6777

Organizations & group practices 2

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": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1265600183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 S FRONTAGE RD STE 36",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276169",
            "telephone_number": "630-974-6777",
            "fax_number": "877-204-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 S FRONTAGE RD STE 36",
            "address_2": "SUITE 36",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276169",
            "telephone_number": "630-974-6777",
            "fax_number": "877-204-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONOHUE",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-13",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-002304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

Verify at the official NPI Registry.