Active NPI
Danielle Patrick-Wade, EDD
- Professional Counselor
- Chicago, IL
National Provider Identifier
1447027933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.016533
- Practice address
- 1130 S Canal St # 1054
Chicago, IL 60607-4907 - Phone
- (847) 474-9755
- NPI assigned
- Dec 5, 2023
- Last updated
- Oct 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PRC200012532 | DC | |
| Professional Counselor | 101YP2500X | 178.019959 | IL | |
| Professional Counselor | 101YP2500X | 2025032303 | MO | |
| Professional Counselor | 101YP2500X | 180.016533 | IL | Primary |
Addresses
Primary practice location
1130 S Canal St # 1054
Chicago, IL 60607-4907
Mailing address
1130 S Canal St Ste 1054
Chicago, IL 60607-5058
Phone (847) 474-9755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRC200012532 | DC | MD | Professional Counselor |
| 178.019959 | IL | MD | Professional Counselor |
| 180.016533 | IL | MD | Professional Counselor |
| 2025032303 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Candid Space Counseling PLLC | Professional | Current | Accepting new patients |
Locations
1130 S Canal St
#1054
Chicago, IL 60607
Phone (847) 474-9755
1130 S Canal St
Ste 1054
Chicago, IL 60607
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.
-
- Professional Counselor
- Chicago, IL
- NPI 1235955063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1447027933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 S CANAL ST STE 1054",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606075058",
"telephone_number": "847-474-9755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 S CANAL ST # 1054",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606074907",
"telephone_number": "847-474-9755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK-WADE",
"first_name": "DANIELLE",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-05",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC200012532",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.019959",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2025032303",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.016533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Carrie Louise Patrick
- Gail Lynn Patrick, MD
- Janice R Patrick
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.