Individual provider Active NPI

Diana Ruth Zilly, LCPC, NBCFCH

  • Professional Counselor
  • Joliet, IL
National Provider Identifier
1316255581
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.009466 Issued in IL
Practice address
310 N Hammes Ave
302 B
Joliet, IL 60435-8118
Phone
(630) 716-3939
Fax
(630) 358-6620
NPI assigned
Sep 21, 2010
Last updated
Aug 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.009466 IL Primary

Addresses

Primary practice location

310 N Hammes Ave
302 B
Joliet, IL 60435-8118

Mailing address

335 E Geneva Rd # 3020
Carol Stream, IL 60188-2438
Phone (630) 716-3939

Other identifiers 1

IdentifierTypeStateIssuer
180.009466OtherILIL DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180.009466ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Zilly LLC Professional PastSince Aug 9, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1316255581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E GENEVA RD # 3020",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882438",
            "telephone_number": "630-716-3939",
            "fax_number": "630-358-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N HAMMES AVE",
            "address_2": "302 B",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358118",
            "telephone_number": "630-716-3939",
            "fax_number": "630-358-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILLY",
        "first_name": "DIANA",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "LCPC, NBCFCH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATIONS",
            "identifier": "180.009466",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.