Active NPI
Dawn Zywiec Professional Counseling, LLC
- Community/Behavioral Health Agency
- Bloomington, IL
National Provider Identifier
1295128841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 180004875
- 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, 2015
- 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
- Dr. Dawn Marie Zywiec, PHD, LCPC, RN
- Title
- Owner
- Phone
- (309) 706-6445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902936636 | Other | IL | NPI 1 |
National Provider Directory
National Provider DirectoryNPI 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.