Individual provider Active NPI

Janet Diep

  • Mental Health Counselor
  • Lake in the Hills, IL
National Provider Identifier
1497510416
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.01742 Issued in IL
Practice address
9 Crystal Lake Rd Ste 150
Lake in the Hills, IL 60156-1254
Phone
(815) 324-3979
NPI assigned
Feb 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.01742 IL Primary

Addresses

Primary practice location

9 Crystal Lake Rd Ste 150
Lake in the Hills, IL 60156-1254

Mailing address

9 Crystal Lake Rd Ste 150
Lake in the Hills, IL 60156-1254
Phone (815) 324-3979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21099 Mill Branch Dr
Leesburg, VA 20175-6368

330 E Main St
Suite 208
Barrington, IL 60010-3203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.01742ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transformations Counseling PLLC Mental Health CurrentSince Jul 7, 2024 Accepting new patients

Locations

9 Crystal Lake Rd
Ste 150
Lake in the Hills, IL 60156
Phone (815) 324-3979

6845 Weaver Rd
Ste 100
Rockford, IL 61114
Phone (815) 324-3979

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": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1497510416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CRYSTAL LAKE RD STE 150",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601561254",
            "telephone_number": "815-324-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CRYSTAL LAKE RD STE 150",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601561254",
            "telephone_number": "815-324-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEP",
        "first_name": "JANET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.01742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

Verify at the official NPI Registry.