Daniece J Townsend, LCPC

Individual provider Active NPI Mental Health Counselor · Flossmoor, IL

NPI 1629675723 · NPPES record last updated Oct 15, 2025

Key facts

NPI
1629675723
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
180017507 (IL)
Practice address
1020 Park Dr Unit 183
Flossmoor, IL 60422-2507
Phone
(708) 235-7334
NPI assigned
Oct 2, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
180017507ILMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X 180017507 IL Yes

Addresses

Primary practice location

1020 Park Dr Unit 183
Flossmoor, IL 60422-2507

Mailing address

1020 Park Dr Unit 183
Flossmoor, IL 60422-2507

Other names

  • Ms. Daniece J Johnson Former name

Other providers in Flossmoor, IL

All providers in Flossmoor, IL · Mental Health Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.