Evelyn L. Fennell, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180-000634 Issued in IL

Practice address

121 Hidden Oaks Dr
Barrington, IL 60010-4902

Phone

(847) 331-7504

Fax

(847) 381-8491

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1790804995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 HIDDEN OAKS DR",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600104902",
            "telephone_number": "847-381-8405",
            "fax_number": "847-381-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 HIDDEN OAKS DR",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600104902",
            "telephone_number": "847-331-7504",
            "fax_number": "847-381-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNELL",
        "first_name": "EVELYN",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-000634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fay Nutrition Network Inc
• Suzanna Faycurry
• Feel Good Counseling Center, LLC
• Feel Good Counseling Center, LLC
• J. Dean Feldman, M.D.
• Vlad Ferdkoff, D.D.S.
• Stephani Figueroa
• Andrew Clark Fink, DPT
• Calvin Alessandro Fiore, MA
• Teresa Fischler, MSN, APRN, FNP-BC

• Mental Health Counselor in Barrington, IL
• Providers in Barrington, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.