Individual provider Active NPI

Carol L Dreyer, LCPC

  • Professional Counselor
  • Libertyville, IL
National Provider Identifier
1598865875
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180003627 Issued in IL
Practice address
1800 Hollister Dr Ste 201
Libertyville, IL 60048-5266
Phone
(847) 549-1189
NPI assigned
Sep 25, 2006
Last updated
Jul 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166000456 IL
Professional Counselor 101YP2500X 180003627 IL Primary

Addresses

Primary practice location

1800 Hollister Dr Ste 201
Libertyville, IL 60048-5266

Mailing address

696 Masters LN
Riverwoods, IL 60015-5703
Phone (847) 507-4963

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
I20240131001385 IL Practitioner - Mental Health Counselor 4688027204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grand Oaks Behavioral Health LLCGroup PAC ID 2163523903, 14 clinicians

Practice addresses (Care Compare)

1800 Hollister Dr
Suite 201
Libertyville, IL 60048-5266
Phone (847) 549-1189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
166000456ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Oaks Behavioral Health LLC CurrentSince Jan 1, 2024 Accepting new patients
The Family Stress Clinic Past Accepting new patients

Locations

1800 Hollister Dr
Ste 201
Libertyville, IL 60048
Phone (847) 549-0944

Organizations & group practices 2

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1598865875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 MASTERS LN",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600155703",
            "telephone_number": "847-507-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOLLISTER DR STE 201",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485266",
            "telephone_number": "847-549-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREYER",
        "first_name": "CAROL",
        "middle_name": "L",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000456",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180003627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.