Individual provider Active NPI

Cheryl Ann Frommelt, MS, LCPC, LMFT

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1679687990
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180001004 Issued in IL
Practice address
640 N River Rd Ste 108
Naperville, IL 60563-8947
Phone
(630) 718-0717
Fax
(630) 718-0747
NPI assigned
Aug 17, 2006
Last updated
May 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180001004 IL Primary
Marriage & Family Therapist 106H00000X 166000555 IL

Addresses

Primary practice location

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

Mailing address

636 Raymond Dr Ste 305
Naperville, IL 60563-9792
Phone (630) 718-0717

Other identifiers 1

IdentifierTypeStateIssuer
0002225381OtherILBLUE CROSS BLUE SHIELD

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
I20240220003480 IL Practitioner - Mental Health Counselor 7214389907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Valley Institute for Growth and Wellness IncGroup PAC ID 0244285617, 17 clinicians

Practice addresses (Care Compare)

640 N River Rd
Suite 108
Naperville, IL 60563-8947
Phone (630) 718-0717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
180001004ILMDProfessional Counselor
166000555ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Institute for Growth and Wellness Inc CurrentSince Jan 1, 2024 Accepting new patients
Revelations RX PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

636 Raymond Dr
Ste 305
Naperville, IL 60563
Phone (630) 718-0717

640 N River Rd
Ste 108
Naperville, IL 60563
Phone (630) 359-8951

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1679687990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 RAYMOND DR STE 305",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639792",
            "telephone_number": "630-718-0717",
            "fax_number": "630-718-0747"
        },
        {
            "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",
            "fax_number": "630-718-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROMMELT",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "credential": "MS, LCPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180001004",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000555",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0002225381",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.