Anthony Louis Dattomo, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180002291 Issued in IL

Practice address

70 S River St
Aurora, IL 60506-5295

Phone

(630) 844-2662

NPI assigned

Jan 12, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Psychelp Counseling & Psychiatry

  • Mental Health Counselor
  • Naperville, IL
  • NPI 1215786199
  NPD (past)

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1316184401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 CROSSWIND DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605862251",
            "telephone_number": "630-263-3095",
            "fax_number": "847-585-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 S RIVER ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605065295",
            "telephone_number": "630-844-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATTOMO",
        "first_name": "ANTHONY",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180002291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice B Daniele, MD
• Shelby Danielson, OT
• Danny Al, PLLC (Bella Dental)
• Gifty Serwaa Danso
• Prasun K Das, MD
• Kamlesh K Dave, PHARMACIST
• Shilpa S. Dave, DO
• David Alan Pesavento, DDS, LTD
• David G Lifka DC PC
• David V Wolfe DDS LTD

• Mental Health Counselor in Aurora, IL
• Providers in Aurora, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.