Active NPI
Donald Milazzo, LCPC
- Professional Counselor
- Lombard, IL
National Provider Identifier
1710312269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180009697
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 178009038 | IL | MD | Professional Counselor |
| 180009697 | IL | MD | Professional 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.