Active NPI
Dawn Aurora Hanzie
- Professional Counselor
- New Lenox, IL
National Provider Identifier
1750077160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.018214
- Practice address
- 1930 Cornell Dr
New Lenox, IL 60451-3842 - Phone
- (708) 382-0297
- NPI assigned
- Apr 18, 2023
- Last updated
- Jun 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.018214 | IL | Primary |
Addresses
Primary practice location
1930 Cornell Dr
New Lenox, IL 60451-3842
Mailing address
1930 Cornell Dr
New Lenox, IL 60451-3842
Phone (708) 382-0297
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 |
|---|---|---|---|
| 178.018214 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Healing | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685836800000",
"number": "1750077160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 CORNELL DR",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604513842",
"telephone_number": "708-382-0297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 CORNELL DR",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604513842",
"telephone_number": "708-382-0297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANZIE",
"first_name": "DAWN",
"middle_name": "AURORA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-18",
"last_updated": "2023-06-04",
"certification_date": "2023-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.018214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Lenox, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.