Individual provider Active NPI

Donald Milazzo, LCPC

  • Professional Counselor
  • Lombard, IL
National Provider Identifier
1710312269
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180009697 Issued in IL
Practice address
55 W 22ND St Ste 305
Lombard, IL 60148-7048
Phone
(708) 302-9113
Fax
(630) 283-7821
NPI assigned
Sep 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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 178009038 IL
Professional Counselor 101YP2500X 180009697 IL Primary

Addresses

Primary practice location

55 W 22ND St Ste 305
Lombard, IL 60148-7048

Mailing address

476 Rockhurst Rd
Bolingbrook, IL 60440-2439
Phone (708) 302-9113

Other practice location 1

15201 S Route 59
Plainfield, IL 60544-2681
Phone (708) 302-9113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178009038ILMDProfessional Counselor
180009697ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1710312269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 ROCKHURST RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402439",
            "telephone_number": "708-302-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W 22ND ST STE 305",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601487048",
            "telephone_number": "708-302-9113",
            "fax_number": "630-283-7821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15201 S Route 59",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605442681",
            "country_code": "US",
            "telephone_number": "708-302-9113",
            "fax_number": "630-283-7821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILAZZO",
        "first_name": "DONALD",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-03",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178009038",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180009697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.