Individual provider Active NPI

Danette Palomar, LCPC

  • Mental Health Counselor
  • Northfield, IL
National Provider Identifier
1285968115
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180-004387 Issued in IL
Practice address
1622 Willow Rd Ste 200
Northfield, IL 60093-3450
Phone
(847) 853-0234
Fax
(847) 853-0230
NPI assigned
Sep 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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 180-004387 IL Primary

Addresses

Primary practice location

1622 Willow Rd Ste 200
Northfield, IL 60093-3450

Mailing address

2742 W Wellington Ave
Chicago, IL 60618-7823

Other names 1

  • Danette Giarrizzo Former name

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
180-004387ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Palomar Therapy Services CurrentSince Jan 7, 2024 Accepting new patients

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": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1285968115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2742 W WELLINGTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 WILLOW RD STE 200",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933450",
            "telephone_number": "847-853-0234",
            "fax_number": "847-853-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMAR",
        "first_name": "DANETTE",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-004387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANETTE",
            "last_name": "GIARRIZZO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.