Theresa Reardon Dewey, LCPC, ATR

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180009125 Issued in IL

Practice address

725 Washington Ave
Ste 108
Evanston, IL 60202-2243

Phone

(773) 442-2079

NPI assigned

Nov 6, 2017

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

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1386157931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 W GREENLEAF AVE UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453304",
            "telephone_number": "773-425-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WASHINGTON AVE",
            "address_2": "STE 108",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022243",
            "telephone_number": "773-442-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEY",
        "first_name": "THERESA",
        "middle_name": "REARDON",
        "credential": "LCPC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180009125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clare Desmond, MD
• Ann Robinson Devar
• Mehgan Kathleen Devine, PSYD
• Scott Remedios Devogelear, MD
• Mindi Dewey-Rosburg, MA, LCPC
• Elizabeth Deyoung, LPC
• Vladimir Deyski
• Sarah Sanders Dhake, MD
• Asim Dhungana, MD
• Diana Diakakis, FNP-BC

• Professional Counselor in Evanston, IL
• Providers in Evanston, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.