Individual provider Active NPI

Dana Lynn Fenceroy, MA IN MENTAL HEALTH

  • Mental Health Counselor
  • Evanston, IL
National Provider Identifier
1609785518
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178023344 Issued in IL
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

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.