Individual provider Active NPI

Bonnie McDaniel, M.ED, LCPC

  • Counselor
  • St Charles, IL
National Provider Identifier
1437614666
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1780144327 Issued in IL
Practice address
333 N Randall Rd # 105B
St Charles, IL 60174-1573
Phone
(847) 313-5457
NPI assigned
Feb 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1780144327 IL Primary

Addresses

Primary practice location

333 N Randall Rd # 105B
St Charles, IL 60174-1573

Mailing address

244 S Randall Rd # 1054
Elgin, IL 60123-5529

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250904001137 IL Practitioner - Mental Health Counselor 3577065119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Evolve Family Therapy LLCGroup PAC ID 2668974205, 2 clinicians

Practice addresses (Care Compare)

333 N Randall Rd
Suite 105B
St Charles, IL 60174-1561
Phone (847) 857-7840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
1780144327ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Family Therapy LLC CurrentSince Aug 25, 2025 Accepting new patients

Locations

244 S Randall Rd
Elgin, IL 60123
Phone (224) 202-4632

333 N Randall Rd
Ste 105B
St Charles, IL 60174
Phone (845) 857-7840

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1437614666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 S RANDALL RD # 1054",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N RANDALL RD # 105B",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741573",
            "telephone_number": "847-313-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "BONNIE",
        "credential": "M.ED, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "1780144327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.