Organization Active NPI

Patrick J. Cunningham, M.a., L.C.P.C.

  • Professional Counselor
  • Oak Brook, IL
National Provider Identifier
1407960412
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-004499 Issued in IL
Legal business name
PATRICK J. CUNNINGHAM, M.A., L.C.P.C.
Practice address
1010 Jorie Blvd
Suite 366
Oak Brook, IL 60523-2215
Phone
(630) 561-3422
Fax
(866) 372-1624
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Patrick J Cunningham, M.A., L.C.P.C.NPI 1164536173
Title
Owner
Phone
(630) 561-3422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180-004499 IL Primary

Addresses

Primary practice location

1010 Jorie Blvd
Suite 366
Oak Brook, IL 60523-2215

Mailing address

1010 Jorie Blvd
Suite 366
Oak Brook, IL 60523-2215
Phone (630) 561-3422

Other identifiers 1

IdentifierTypeStateIssuer
0002232229OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1010 Jorie Blvd
Ste 366
Oak Brook, IL 60523
Phone (630) 561-3422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1407960412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 JORIE BLVD",
            "address_2": "SUITE 366",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232215",
            "telephone_number": "630-561-3422",
            "fax_number": "866-372-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 JORIE BLVD",
            "address_2": "SUITE 366",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232215",
            "telephone_number": "630-561-3422",
            "fax_number": "866-372-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK J. CUNNINGHAM, M.A., L.C.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-561-3422",
        "authorized_official_credential": "M.A., L.C.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-004499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0002232229",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.