Active NPI
Daniel Chad Peterson, LCPC
- Professional Counselor
- Naperville, IL
National Provider Identifier
1750539508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180-005898
- Practice address
- 445 W Jackson Ave
Suite 206
Naperville, IL 60540-5256 - Phone
- (630) 420-2596
- Fax
- (630) 420-2597
- NPI assigned
- Sep 5, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 180-005898 | IL | Primary |
Addresses
Primary practice location
445 W Jackson Ave
Suite 206
Naperville, IL 60540-5256
Mailing address
103 Willow LN
Bristol, IL 60512-9711
Phone (630) 420-2596
Other practice location 1
73 W Monroe Street #422
Chicago, IL 60603
Phone (888) 500-2067
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 |
|---|---|---|---|
| 180-005898 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cartwheel Health Services PC | Professional | 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 and National Provider Directory roles.
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Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1750539508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 WILLOW LN",
"city": "BRISTOL",
"state": "IL",
"postal_code": "605129711",
"telephone_number": "630-420-2596",
"fax_number": "630-420-2597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 W JACKSON AVE",
"address_2": "SUITE 206",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605405256",
"telephone_number": "630-420-2596",
"fax_number": "630-420-2597"
}
],
"practiceLocations": [
{
"address_1": "73 W Monroe Street #422",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60603",
"country_code": "US",
"telephone_number": "888-500-2067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERSON",
"first_name": "DANIEL",
"middle_name": "CHAD",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-05",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-005898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.