Individual provider Active NPI

Danielle Patrick-Wade, EDD

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1447027933
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.016533 Issued in IL
Practice address
1130 S Canal St # 1054
Chicago, IL 60607-4907
Phone
(847) 474-9755
NPI assigned
Dec 5, 2023
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PRC200012532DCMDProfessional Counselor
178.019959ILMDProfessional Counselor
180.016533ILMDProfessional Counselor
2025032303MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Candid Space Counseling PLLC Professional CurrentSince Dec 1, 2024 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.

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": []
}

Other providers in Chicago, IL

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.

Verify at the official NPI Registry.