Amber Dicosola

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178013565 Issued in IL

Practice address

410 S Michigan Ave Ste 928
Chicago, IL 60605-1399

Phone

(312) 248-3190

NPI assigned

Sep 23, 2020

Sex

Female

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.

• DK Therapy LLC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1386155943
  NPD (past)

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1356957484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5254 S DORCHESTER AVE APT 803",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606156003",
            "telephone_number": "630-935-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S MICHIGAN AVE STE 928",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051399",
            "telephone_number": "312-248-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICOSOLA",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178013565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Dickson, D.D.S.
• Drusia Dickson, MD
• James Malcolm Dickson, MD
• Katharine Emily Dickson
• Sarah B Dickson
• Danielle Dicristofano
• Vanessa Dicristofano
• Michaela Didani
• Erin Didde, CCC-SLP
• Alexander Didier, MD

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, 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 Sep 23, 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.