Active NPI
Anthony Scott Dillon, M.A., LCPC, CHT
- Professional Counselor
- Oak Brook, IL
National Provider Identifier
1730447657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180008405
- Practice address
- 1314 Kensington Rd Unit 4531
Oak Brook, IL 60522-7136 - Phone
- (630) 324-4996
- Fax
- (219) 844-0195
- NPI assigned
- Apr 28, 2012
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Professional Counselor | 101YP2500X | 180008405 | IL | Primary |
Addresses
Primary practice location
1314 Kensington Rd Unit 4531
Oak Brook, IL 60522-7136
Mailing address
7956 Birch Dr
Hammond, IN 46324-3329
Phone (219) 781-1113
Other practice location 1
17732 Oak Park Ave
Ste A-B
Tinley Park, IL 60477-3940
Phone (708) 342-1773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780223529 | Medicaid | IL |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180008405 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Counseling Services LLC | Professional | Current | Accepting new patients |
Locations
25 E Washington St
Chicago, IL 60602
Phone (312) 298-9846
1314 Kensington Rd
Unit 4531
Oak Brook, IL 60522
Phone (630) 324-4996
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 and National Provider Directory roles.
-
- Professional Counselor
- Oak Brook, IL
- NPI 1780223529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1730447657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7956 BIRCH DR",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463243329",
"telephone_number": "219-781-1113",
"fax_number": "219-844-0195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 KENSINGTON RD UNIT 4531",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605227136",
"telephone_number": "630-324-4996",
"fax_number": "219-844-0195"
}
],
"practiceLocations": [
{
"address_1": "17732 Oak Park Ave",
"address_2": "Ste A-B",
"address_purpose": "LOCATION",
"city": "Tinley Park",
"state": "IL",
"postal_code": "604773940",
"country_code": "US",
"telephone_number": "708-342-1773",
"fax_number": "708-342-1780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DILLON",
"first_name": "ANTHONY",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "M.A., LCPC, CHT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-28",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180008405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780223529",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.