Active NPI
Dunnlark Counseling Services, PLLC
- Clinical Social Worker
- Wheaton, IL
National Provider Identifier
1306455324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- DUNNLARK COUNSELING SERVICES, PLLC
- Practice address
- 112 N Erie St
Wheaton, IL 60187-4536 - Phone
- (630) 518-1545
- NPI assigned
- Jul 26, 2020
- 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
- Mrs. Kelly E Reilly, LCSW
- Title
- Therapist
- Phone
- (630) 518-1545
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
112 N Erie St
Wheaton, IL 60187-4536
Mailing address
112 N Erie St
Wheaton, IL 60187-4536
Phone (630) 518-1545
Other names 1
- DunnLark Counseling Services
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Wheaton, IL
- NPI 1073886230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595721600000",
"number": "1306455324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 N ERIE ST",
"city": "WHEATON",
"state": "IL",
"postal_code": "601874536",
"telephone_number": "630-518-1545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N ERIE ST",
"city": "WHEATON",
"state": "IL",
"postal_code": "601874536",
"telephone_number": "630-518-1545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUNNLARK COUNSELING SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-26",
"last_updated": "2020-07-26",
"certification_date": "2020-07-26",
"status": "A",
"authorized_official_last_name": "REILLY",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "630-518-1545",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DunnLark Counseling Services",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.