Individual provider Active NPI

Wende Gay Pannell, LCPC, CADC, LPC

  • Mental Health Counselor
  • St Charles, IL
National Provider Identifier
1295995348
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.0006927 Issued in IL
Practice address
2075 Foxfield Rd Ste 202
St Charles, IL 60174-1402
Phone
(630) 377-3535
Fax
(630) 377-6703
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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 180.0006927 IL Primary

Addresses

Primary practice location

2075 Foxfield Rd Ste 202
St Charles, IL 60174-1402

Mailing address

733 N May St
Aurora, IL 60506-2949
Phone (630) 417-7555

Other practice location 1

733 N May St
Aurora, IL 60506-2949
Phone (630) 417-7555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709002023 IL Practitioner - Mental Health Counselor 5294249520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Goodman PHD Psychologist LTDGroup PAC ID 7416909056, 13 clinicians

Practice addresses (Care Compare)

2075 Foxfield Rd
Suite 202
St Charles, IL 60174-1402
Phone (630) 377-3535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.0006927ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
David Goodman, PH.D. Psychologist LTD. CurrentSince Jun 25, 2025 Accepting new patients

Locations

2075 Foxfield Rd
Ste 202
St Charles, IL 60174
Phone (630) 377-3535

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1295995348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 N MAY ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605062949",
            "telephone_number": "630-417-7555",
            "fax_number": "630-896-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 FOXFIELD RD STE 202",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741402",
            "telephone_number": "630-377-3535",
            "fax_number": "630-377-6703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "733 N May St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605062949",
            "country_code": "US",
            "telephone_number": "630-417-7555",
            "fax_number": "630-896-1689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANNELL",
        "first_name": "WENDE",
        "middle_name": "GAY",
        "name_prefix": "Ms.",
        "credential": "LCPC, CADC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.0006927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.