Teila Desarno, L.C.P.C., C.A.D.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.007855 Issued in IL

Practice address

525 Dunham Rd
Suite 55
St Charles, IL 60174-1490

Phone

(630) 825-8745

NPI assigned

Apr 1, 2016

Last updated

Apr 1, 2016By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1558724039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 OREGON TRL",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601721306",
            "telephone_number": "630-825-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 DUNHAM RD",
            "address_2": "SUITE 55",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741490",
            "telephone_number": "630-825-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESARNO",
        "first_name": "TEILA",
        "credential": "L.C.P.C., C.A.D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "30153",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jussyl B Diazluna
• Dickens, Mason & Kissell DDS LTD

• Professional Counselor in St Charles, IL
• Providers in St Charles, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.