Individual provider Active NPI

Callie Aswegen

  • Mental Health Counselor
  • Wheaton, IL
National Provider Identifier
1548705122
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180012330 Issued in IL
Practice address
128 S County Farm Rd Ste C
Wheaton, IL 60187-2400
Phone
(630) 447-8818
Fax
(630) 447-8818
NPI assigned
Jan 5, 2017
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1780811569 IL
Mental Health Counselor 101YM0800X 180012330 IL Primary

Addresses

Primary practice location

128 S County Farm Rd Ste C
Wheaton, IL 60187-2400

Mailing address

128 S County Farm Rd Ste C
Wheaton, IL 60187-2400
Phone (630) 447-8818

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

LicenseStateTypeSpecialty
1780811569ILMDMental Health Counselor
180012330ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Panahi Counseling, PC CurrentSince Mar 26, 2023 Accepting new patients

Locations

128 S County Farm Rd
Ste C
Wheaton, IL 60187
Phone (630) 423-2350

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1548705122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 S COUNTY FARM RD STE C",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872400",
            "telephone_number": "630-447-8818",
            "fax_number": "630-447-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S COUNTY FARM RD STE C",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872400",
            "telephone_number": "630-447-8818",
            "fax_number": "630-447-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASWEGEN",
        "first_name": "CALLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "1780811569",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180012330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.