Active NPI
Danielle Avallone, M.A., L.P.C.
- Professional Counselor
- Hanover Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.005775
- Practice address
- 1732 Zeppelin Dr
Hanover Park, IL 60133-5930 - Phone
- (912) 704-5063
- NPI assigned
- May 7, 2012
- Last updated
- May 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.005775 | IL | Primary |
Addresses
Primary practice location
1732 Zeppelin Dr
Hanover Park, IL 60133-5930
Mailing address
1732 Zeppelin Dr
Hanover Park, IL 60133-5930
Phone (912) 704-5063
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
460 Briargate Dr
Suite 700
South Elgin, IL 60177-2284
Phone (847) 488-1999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.005775 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VCC Counseling, Inc. | Professional | Current | Accepting new patients |
Locations
1240 Bamburg Ct
Ste 3A
Hanover Park, IL 60133
Phone (847) 372-6599
460 Briargate Dr
Ste 700
South Elgin, IL 60177
Phone (847) 488-1999
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, 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": "1336348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336348800000",
"number": "1689933079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1732 ZEPPELIN DR",
"city": "HANOVER PARK",
"state": "IL",
"postal_code": "601335930",
"telephone_number": "912-704-5063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1732 ZEPPELIN DR",
"city": "HANOVER PARK",
"state": "IL",
"postal_code": "601335930",
"telephone_number": "912-704-5063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVALLONE",
"first_name": "DANIELLE",
"credential": "M.A., L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-07",
"last_updated": "2012-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.005775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hanover Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.