Active NPI
Dawn Susanne Reich, LCPC
- Professional Counselor
- Oswego, IL
National Provider Identifier
1447985478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180014553
- Practice address
- 64 Main St
Oswego, IL 60543-9893 - Phone
- (630) 519-1010
- NPI assigned
- Jul 22, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180014553 | IL | Primary |
Addresses
Primary practice location
64 Main St
Oswego, IL 60543-9893
Mailing address
309 Millington Way
Saint Charles, IL 60174-5528
Phone (630) 200-9783
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 |
|---|---|---|---|
| 180014553 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1447985478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 MILLINGTON WAY",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601745528",
"telephone_number": "630-200-9783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 MAIN ST",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605439893",
"telephone_number": "630-519-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICH",
"first_name": "DAWN",
"middle_name": "SUSANNE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-22",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180014553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oswego, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.