Individual provider Active NPI

Danielle Pincente, LCPC

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1780041426
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180014278 Issued in IL
Practice address
900 E Diehl Rd Ste 101
Naperville, IL 60563-2394
Phone
(630) 328-0134
NPI assigned
Jan 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180014278 IL
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 180014278 IL Primary

Addresses

Primary practice location

900 E Diehl Rd Ste 101
Naperville, IL 60563-2394

Mailing address

900 E Diehl Rd Ste 101
Naperville, IL 60563-2394
Phone (630) 328-0134

Other practice location 1

1717 N Naper Blvd Ste 109
Naperville, IL 60563-8837
Phone (847) 868-3435

Other practice location 2

106 Edwards St
Newton, IL 62448-1736
Phone (618) 783-4154

Other identifiers 2

IdentifierTypeStateIssuer
376001106007MedicaidIL
376001106006MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240422001872 IL Practitioner - Mental Health Counselor 2567801681 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Specialists LTD Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.daniellepincente@146897.advancedmd-direct.com

Organizations & group practices 2

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": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1780041426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E DIEHL RD STE 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632394",
            "telephone_number": "630-328-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E DIEHL RD STE 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632394",
            "telephone_number": "630-328-0134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 N Naper Blvd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605638837",
            "country_code": "US",
            "telephone_number": "847-868-3435",
            "fax_number": "847-859-5885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Edwards St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "IL",
            "postal_code": "624481736",
            "country_code": "US",
            "telephone_number": "618-783-4154",
            "fax_number": "618-783-2339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINCENTE",
        "first_name": "DANIELLE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180014278",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376001106007",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376001106006",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.