Elaine Dafnis LCPC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180009427 Issued in IL

Legal business name

ELAINE DAFNIS LCPC

Practice address

655 Rockland Rd
Suite 207
Lake Bluff, IL 60044-1782

Phone

(847) 521-0116

NPI assigned

Jan 10, 2015

Last updated

Jan 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elaine Dafnis, LCPC

Title

Clinical Mental Health Counselor

Phone

(847) 521-0116

Specialties & licenses 1

Addresses

Other names 1

• Lake Bluff counseling and mediation Other name

Locations

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

{
    "created_epoch": "1420848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420848000000",
    "number": "1689063992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 ROCKLAND RD",
            "address_2": "SUITE 207",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 ROCKLAND RD",
            "address_2": "SUITE 207",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441782",
            "telephone_number": "847-521-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE DAFNIS LCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-10",
        "last_updated": "2015-01-10",
        "status": "A",
        "authorized_official_last_name": "DAFNIS",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "CLINICAL MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "847-521-0116",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180009427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Bluff counseling and mediation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2015; 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.