Active NPI
Nia Butler, LCSW
- Clinical Social Worker
- Downers Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149023777
- Practice address
- Emh Dupage, PLLC Dba Ellie Mental Health
5151 Mochel Drive, Ste 304
Downers Grove, IL 60515 - Phone
- (630) 324-4663
- NPI assigned
- Jun 1, 2017
- Last updated
- May 17, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Social Worker | 1041C0700X | 149023777 | IL | Primary |
Addresses
Primary practice location
Emh Dupage, PLLC Dba Ellie Mental Health
5151 Mochel Drive, Ste 304
Downers Grove, IL 60515
Mailing address
1820 S 25TH Ave
Broadview, IL 60155-2864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5151 Mochel Dr
Suite 304
Downers Grove, IL 60515-5078
Phone (630) 324-4663
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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
1000 Jorie Blvd
Ste 228
Oak Brook, IL 60523
Phone (630) 283-2950
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": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1386172435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 S 25TH AVE",
"city": "BROADVIEW",
"state": "IL",
"postal_code": "601552864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EMH DUPAGE, PLLC DBA ELLIE MENTAL HEALTH",
"address_2": "5151 MOCHEL DRIVE, STE 304",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "60515",
"telephone_number": "630-324-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "NIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-01",
"last_updated": "2023-05-17",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149023777",
"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 May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.