Defne Elise Ildiz

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.018061 Issued in IL

Practice address

3722 Sunset Blvd
Orchard Lake, MI 48324-2957

Phone

(609) 721-2350

NPI assigned

Jul 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Wildflower Center for Emotional Health PLLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1114342599
  NPD

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1487333498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 SUNSET BLVD",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483242957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 SUNSET BLVD",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483242957",
            "telephone_number": "609-721-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILDIZ",
        "first_name": "DEFNE",
        "middle_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.018061",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401226114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Hakim
• Lena Hakim
• Phyllis Hogan-Miller
• Home Medical Consultants PLLC
• Phoncella Howard
• KKL Radiology, PLLC
• Steven Merahn, MD
• Milstein Pediatric Speech and Language Services Inc
• Zehra Naqvi
• Orchard Lake Dermatology & Cosmetics

• Mental Health Counselor in Orchard Lake, MI
• Providers in Orchard Lake, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.