Individual provider Active NPI

Danielle Vaquer, MA, LAMFT

  • Professional Counselor
  • Oak Lawn, IL
National Provider Identifier
1669925541
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
166.001055 Issued in IL
Practice address
10735 S Cicero Ave
208
Oak Lawn, IL 60453-5400
Phone
(708) 484-0001
NPI assigned
Jul 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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 166.001055 IL Primary

Addresses

Primary practice location

10735 S Cicero Ave
208
Oak Lawn, IL 60453-5400

Mailing address

10735 S Cicero Ave
208
Oak Lawn, IL 60453-5400
Phone (708) 484-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 15, 2024 through Mar 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
166.001055ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychological Services - Oak Lawn LTD PastSince Dec 17, 2003 Accepting new patients
Center for Psychological Services,LTD Past Accepting new patients

Organizations & group practices 2

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": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1669925541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10735 S CICERO AVE",
            "address_2": "208",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535400",
            "telephone_number": "708-484-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10735 S CICERO AVE",
            "address_2": "208",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535400",
            "telephone_number": "708-484-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAQUER",
        "first_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "MA, LAMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "166.001055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.