Organization Active NPI

Dawn Zywiec Professional Counseling, LLC

  • Community/Behavioral Health Agency
  • Bloomington, IL
National Provider Identifier
1295128841
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
180004875 Issued in IL
Legal business name
DAWN ZYWIEC PROFESSIONAL COUNSELING, LLC
Practice address
2310 E Oakland Ave
Suite 4
Bloomington, IL 61701-5865
Phone
(309) 706-6445
NPI assigned
Mar 6, 2015
Last updated
Mar 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Authorized official

Name
Dr. Dawn Marie Zywiec, PHD, LCPC, RN
Title
Owner
Phone
(309) 706-6445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 180004875 IL Primary

Addresses

Primary practice location

2310 E Oakland Ave
Suite 4
Bloomington, IL 61701-5865

Mailing address

306 Spring Ridge Dr
Bloomington, IL 61704-9072
Phone (309) 706-6445

Other identifiers 1

IdentifierTypeStateIssuer
1902936636OtherILNPI 1

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1295128841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 SPRING RIDGE DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617049072",
            "telephone_number": "309-706-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 E OAKLAND AVE",
            "address_2": "SUITE 4",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015865",
            "telephone_number": "309-706-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN ZYWIEC PROFESSIONAL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "ZYWIEC",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-706-6445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCPC, RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180004875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1902936636",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.