Active NPI
Gia Donofrio, LCPC
- Professional Counselor
- Oak Brook, IL
National Provider Identifier
1780448142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.015733
- Practice address
- 2805 Butterfield Rd Ste 120
Oak Brook, IL 60523-1168 - Phone
- (630) 522-3124
- NPI assigned
- Feb 7, 2024
- 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 | 180.015733 | IL | Primary |
Addresses
Primary practice location
2805 Butterfield Rd Ste 120
Oak Brook, IL 60523-1168
Mailing address
1208 N Hickory TRL
Addison, IL 60101-1120
Phone (630) 201-0681
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 |
|---|---|---|---|
| 180.015733 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Suburbs Ocd and Mental Health Therapy LLC | Professional | Current | 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.
-
- Professional Counselor
- Downers Grove, IL
- NPI 1053110734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1780448142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 N HICKORY TRL",
"city": "ADDISON",
"state": "IL",
"postal_code": "601011120",
"telephone_number": "630-201-0681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 BUTTERFIELD RD STE 120",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231168",
"telephone_number": "630-522-3124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOFRIO",
"first_name": "GIA",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-07",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.015733",
"primary": true
}
],
"identifiers": [],
"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 Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.