Dorothy Dvorachek Larsen, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.014916 Issued in IL

Practice address

2600 Warrenville Rd Ste 205
Downers Grove, IL 60515-1761

Phone

(630) 426-1765

NPI assigned

Nov 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Creative Clinical Consulting LLC

  • Professional Counselor
  • Downers Grove, IL
  • NPI 1558889071
  NPD

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1609585223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 LYMAN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605161403",
            "telephone_number": "630-426-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 WARRENVILLE RD STE 205",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151761",
            "telephone_number": "630-426-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DVORACHEK LARSEN",
        "first_name": "DOROTHY",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.014916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlarsen@c4creativeartstherapy.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Creative Clinical Consulting LLC",
            "address_1": "2600 Warrenville Rd Ste 205",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605151761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joshua Duplessis, DC, ATC
• Trinidad Parungao Duran, RN
• Jo Duren-Sampson, LCSW
• Demi A Durham
• Jay M Dutton, M.D.
• Erin Dyckman, MA, CCC-SLP
• Kamila N/a Dymala
• Dynamic Hearing LLC
• Jessica E Dyrek, LCPC
• Jill V. Dziak, P.T.A.

• Mental Health Counselor in Downers Grove, IL
• Providers in Downers Grove, 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 Nov 22, 2022; 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.