Individual provider Active NPI

David Martin Hurley, L.C.P.C.

  • Professional Counselor
  • Oak Lawn, IL
National Provider Identifier
1669531877
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
10522 S Cicero Ave Ste 202
Oak Lawn, IL 60453-5290
Phone
(708) 636-2211
Fax
(708) 636-5552
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X IL Primary

Addresses

Primary practice location

10522 S Cicero Ave Ste 202
Oak Lawn, IL 60453-5290

Mailing address

10522 S Cicero Ave Ste 202
Oak Lawn, IL 60453-5290
Phone (708) 636-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240315002617 IL Practitioner - Mental Health Counselor 2769828409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sudhir M Gokhale MD SCGroup PAC ID 7517923246, 12 clinicians

Practice addresses (Care Compare)

10735 S Cicero Ave
Suite 100
Oak Lawn, IL 60453-6210
Phone (708) 636-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180-000820ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sudhir M Gokhale MD SC CurrentSince Jan 1, 2024 Accepting new patients

Locations

10735 S Cicero Ave
Ste 100
Oak Lawn, IL 60453
Phone (708) 581-5866

10522 S Cicero Ave
Ste 202
Oak Lawn, IL 60453
Phone (708) 636-2211

Organizations & group practices 1

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669531877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10522 S CICERO AVE STE 202",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535290",
            "telephone_number": "708-636-2211",
            "fax_number": "708-636-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10522 S CICERO AVE STE 202",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535290",
            "telephone_number": "708-636-2211",
            "fax_number": "708-636-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "DAVID",
        "middle_name": "MARTIN",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.