Active NPI
Sheila Brady Dalton
- Mental Health Counselor
- Downers Grove, IL
National Provider Identifier
1356052096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.014836
- Practice address
- 5151 Mochel Dr Ste 304
Downers Grove, IL 60515-5078 - Phone
- (630) 324-4663
- Fax
- (630) 395-9974
- NPI assigned
- Dec 13, 2022
- Last updated
- Dec 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.014836 | IL | Primary |
Addresses
Primary practice location
5151 Mochel Dr Ste 304
Downers Grove, IL 60515-5078
Mailing address
415 E North Water St Apt 804W
Chicago, IL 60611-5810
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180.014836 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emh Dupage PLLC | Mental Health | Current | Accepting new patients |
Locations
5151 Mochel Dr
Ste 304
Downers Grove, IL 60515
Phone (630) 324-4663
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": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1356052096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 E NORTH WATER ST APT 804W",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606115810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 MOCHEL DR STE 304",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605155078",
"telephone_number": "630-324-4663",
"fax_number": "630-395-9974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "SHEILA",
"middle_name": "BRADY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-13",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.014836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.