Individual provider Active NPI

Cecilia N. Davis, LCPC

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1508134206
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180011528 Issued in IL
Practice address
900 E Diehl Rd
Naperville, IL 60563-1403
Phone
(630) 219-0103
NPI assigned
Dec 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180011528 IL Primary
Mental Health Counselor 101YM0800X 180011528 IL

Addresses

Primary practice location

900 E Diehl Rd
Naperville, IL 60563-1403

Mailing address

900 E Diehl Rd
Naperville, IL 60563-1403

Other practice location 1

2948 Artesian Rd Ste 112
Naperville, IL 60564-8559
Phone (630) 428-7890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240306003322 IL Practitioner - Mental Health Counselor 1456797935 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Streams of Life Counseling, LLC Current Accepting new patients
Edgewood Clinical Services, P.C. PastSince Oct 2, 2025 Accepting new patients
Psychology Specialists LTD Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.ceciliadavis@146897.advancedmd-direct.com

Organizations & group practices 4

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": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1508134206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E DIEHL RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E DIEHL RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631403",
            "telephone_number": "630-219-0103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2948 Artesian Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605648559",
            "country_code": "US",
            "telephone_number": "630-428-7890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CECILIA",
        "middle_name": "N.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180011528",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180011528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.