Diane L Cinnick, LCPC, CADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.007612 Issued in IL

Practice address

430 Milwaukee Ave
Suite 15
Lincolnshire, IL 60069-3015

Phone

(847) 609-1826

Fax

(847) 949-7472

NPI assigned

Mar 17, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1720387665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 CHADWICK WAY",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600605383",
            "telephone_number": "847-609-1826",
            "fax_number": "847-949-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MILWAUKEE AVE",
            "address_2": "SUITE 15",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693015",
            "telephone_number": "847-609-1826",
            "fax_number": "847-949-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINNICK",
        "first_name": "DIANE",
        "middle_name": "L",
        "credential": "LCPC, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "23515",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas James Chilis, M.D.
• Teresa M Chirayil, MD
• Me-Kyoung Choi
• CHS Illinois Medical, S.C. (Choose Health Wellness Center)
• Antonio A Chua Lee, M.D.
• Julie Clifton, MOT, OTR/L
• Kelly R Coaty, ATC
• Brianna Cole, M.S., CCC-SLP
• Maralys Colon Betancourt, MD
• Comfortable Counseling LLC

• Professional Counselor in Lincolnshire, IL
• Providers in Lincolnshire, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.