Individual provider Active NPI

Danielle Avallone, M.A., L.P.C.

  • Professional Counselor
  • Hanover Park, IL
National Provider Identifier
1689933079
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.005775 Issued in IL
Practice address
1732 Zeppelin Dr
Hanover Park, IL 60133-5930
Phone
(912) 704-5063
NPI assigned
May 7, 2012
Last updated
May 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2012

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222000655 IL Practitioner - Mental Health Counselor 5092159640 Reassigns benefits to 1 organization

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
VCC Counseling, Inc.Group PAC ID 1759486673, 7 clinicians

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

LicenseStateTypeSpecialty
178.005775ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
VCC Counseling, Inc. Professional CurrentSince Jan 1, 2024 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

Verify at the official NPI Registry.