Amy Nichole Druzik, M.A.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.008949 Issued in IL

Practice address

15601 Cicero Ave
Suite 103
Oak Forest, IL 60452-3635

Phone

(708) 687-3479

NPI assigned

Apr 24, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Olive Branch Counseling Associates, Inc.

  • Mental Health Counselor
  • Oak Forest, IL
  • NPI 1730124157
  NPD (past)

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1275977902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15601 CICERO AVE",
            "address_2": "SUITE 103",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523635",
            "telephone_number": "708-687-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15601 CICERO AVE",
            "address_2": "SUITE 103",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523635",
            "telephone_number": "708-687-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUZIK",
        "first_name": "AMY",
        "middle_name": "NICHOLE",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.008949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothea S. Diguido, M.S., CTRS
• Dominion Care Network LLC
• Michael William Donahue, DDS PC
• Frank A. Donatello, D.O.
• Dr. Pitud, M.D., Allergy and Asthma, LTD.
• Katherine S Dunneback, SLP/L
• Ellen Irene Dybala
• Gerard L. Dysico, M.D.
• Holly Michelle Eager, COTA
• Naomi S Effort, LCPC

• Professional Counselor in Oak Forest, IL
• Providers in Oak Forest, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.