Active NPI
Dana Lynn Fenceroy, MA IN MENTAL HEALTH
- Mental Health Counselor
- Evanston, IL
National Provider Identifier
1609785518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 178023344
- Practice address
- 2020 Dempster St
Evanston, IL 60202-1017 - Phone
- (847) 322-8141
- NPI assigned
- Sep 4, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 178023344 | IL | Primary |
Addresses
Primary practice location
2020 Dempster St
Evanston, IL 60202-1017
Mailing address
2722 N Marshfield Ave
Chicago, IL 60614-1016
Phone (847) 322-8141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1609785518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2722 N MARSHFIELD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141016",
"telephone_number": "847-322-8141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 DEMPSTER ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602021017",
"telephone_number": "847-322-8141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENCEROY",
"first_name": "DANA",
"middle_name": "LYNN",
"credential": "MA IN MENTAL HEALTH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-04",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178023344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.