Detrall Arnell Dearbone-Collins, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180004943 Issued in IL

Practice address

54 N Wolf Rd
Hillside, IL 60162-1630

Phone

(708) 606-9895

NPI assigned

Apr 7, 2010

Last updated

Apr 7, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: detralldearbonecollins@tdh.allscriptsdirect.net

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.

• Dearbone Counseling Center, Inc

  • Mental Health Counselor
  • Elmhurst, IL
  • NPI 1902333651
  Authorized official Same address or phone
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1518283183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 N WOLF RD",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601621630",
            "telephone_number": "708-449-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 N WOLF RD",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601621630",
            "telephone_number": "708-606-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARBONE-COLLINS",
        "first_name": "DETRALL",
        "middle_name": "ARNELL",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "180004943",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180004943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Cox II, PT
• Diana Marie Daniak, CCC-SLP/L
• Kisha Daniel, LMT
• Jennifer Davies, MS, CCC-SLP
• Jorge A De Leon
• Dental Starz, LLC
• Daniel J. Desalvo, D.D.S.
• Keith Destefano, LMT
• Barbara A. Dipaolo, R.PH.
• Jill Marie Dolan, LCSW

• Mental Health Counselor in Hillside, IL
• Providers in Hillside, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.