Individual provider Active NPI

Dawn Krawczyk, M.S., LCPC

  • Professional Counselor
  • Burr Ridge, IL
National Provider Identifier
1558669184
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.009133 Issued in IL
Practice address
11S250 S Jackson St Ste 101
Burr Ridge, IL 60527-6884
Phone
(630) 282-6955
NPI assigned
Mar 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180.009133 IL
Professional Counselor 101YP2500X 180.009133 IL Primary

Addresses

Primary practice location

11S250 S Jackson St Ste 101
Burr Ridge, IL 60527-6884

Mailing address

11S250 S Jackson St Ste 101
Burr Ridge, IL 60527-6884
Phone (630) 282-6955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 17, 2024 through Oct 17, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
180.009133ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn M Krawczyk Professional PastSince Jan 17, 2022 Accepting new patients

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": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1558669184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11S250 S JACKSON ST STE 101",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276884",
            "telephone_number": "630-282-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11S250 S JACKSON ST STE 101",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276884",
            "telephone_number": "630-282-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAWCZYK",
        "first_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "M.S., LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.009133",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

Verify at the official NPI Registry.