Individual provider Active NPI

Anthony Scott Dillon, M.A., LCPC, CHT

  • Professional Counselor
  • Oak Brook, IL
National Provider Identifier
1730447657
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180008405 Issued in IL
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

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1780223529MedicaidIL

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

LicenseStateTypeSpecialty
180008405ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Counseling Services LLC Professional CurrentSince Aug 2, 2020 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.

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.

Verify at the official NPI Registry.