Individual provider Active NPI

Holly Cizinauskas, LCPC

  • Professional Counselor
  • West Dundee, IL
National Provider Identifier
1326540634
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.014998 Issued in IL
Practice address
106 W Main St Ste B
West Dundee, IL 60118-2017
Phone
(815) 219-3193
NPI assigned
Mar 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.012196 IL
Professional Counselor 101YP2500X 180.014998 IL Primary

Addresses

Primary practice location

106 W Main St Ste B
West Dundee, IL 60118-2017

Mailing address

106 W Main St Ste B
West Dundee, IL 60118-2017
Phone (815) 219-3193

Other practice location 1

850 S McHenry Ave Ste A
Crystal Lake, IL 60014-7442
Phone (847) 913-0393 ext. 122

Other practice location 2

125 Fairfield Way Ste 380
Bloomingdale, IL 60108-3701
Phone (815) 219-3193

Other names 1

  • Holly Fisher Former name

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
178.012196ILMDProfessional Counselor
180.014998ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Counseling Center,LTD CurrentSince Aug 28, 2024 Accepting new patients
MCDR Counseling LLC Professional CurrentSince May 19, 2024 Accepting new patients
Essentially You Counseling and Wellness Services, LLC PastSince Dec 1, 2022 Accepting new patients

Locations

850 S McHenry Ave
Ste A
Crystal Lake, IL 60014
Phone (815) 455-6124

106 W Main St
Ste B
West Dundee, IL 60118
Phone (815) 219-3193

Organizations & group practices 3

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": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1326540634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W MAIN ST STE B",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182017",
            "telephone_number": "815-219-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W MAIN ST STE B",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182017",
            "telephone_number": "815-219-3193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 S McHenry Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600147442",
            "country_code": "US",
            "telephone_number": "847-913-0393 x122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Fairfield Way Ste 380",
            "address_purpose": "LOCATION",
            "city": "Bloomingdale",
            "state": "IL",
            "postal_code": "601083701",
            "country_code": "US",
            "telephone_number": "815-219-3193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIZINAUSKAS",
        "first_name": "HOLLY",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.012196",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.014998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "FISHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Dundee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.