Individual provider Active NPI

Dawn Marie Miskus, LCPC

  • Counselor
  • Naperville, IL
National Provider Identifier
1619427259
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180.010479 Issued in IL
Practice address
640 N River Rd Ste 108
Naperville, IL 60563-8947
Phone
(630) 718-0717
NPI assigned
Oct 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180.010479 IL Primary
Professional Counselor 101YP2500X 180.010479 IL

Addresses

Primary practice location

640 N River Rd Ste 108
Naperville, IL 60563-8947

Mailing address

1129 Timber Trails Rd
Downers Grove, IL 60516-5108
Phone (630) 487-0809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180.010479ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Institute for Growth and Wellness Inc Counselor PastSince Mar 3, 2019 Accepting new patients
Conscious Counseling & Coaching Limited Counselor Past Accepting new patients
Revelations RX PLLC PastSince May 28, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1619427259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 TIMBER TRAILS RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605165108",
            "telephone_number": "630-487-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N RIVER RD STE 108",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638947",
            "telephone_number": "630-718-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKUS",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.010479",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.