Individual provider Active NPI

Christy Deann Meyer, LCPC, CADC,NCC

  • Mental Health Counselor
  • Naperville, IL
National Provider Identifier
1801135330
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18009896 Issued in IL
Practice address
535 S Washington St
Suite 27
Naperville, IL 60540-6795
Phone
(630) 267-5432
NPI assigned
Feb 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180009896 IL
Mental Health Counselor 101YM0800X 18009896 IL Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 33024 IL

Addresses

Primary practice location

535 S Washington St
Suite 27
Naperville, IL 60540-6795

Mailing address

535 S Washington St
Suite 27
Naperville, IL 60540-6795
Phone (630) 267-5432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33024ILMDAddiction (Substance Use Disorder) Counselor
18009896ILMDMental Health Counselor
180009896ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1801135330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S WASHINGTON ST",
            "address_2": "SUITE 27",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406795",
            "telephone_number": "630-267-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S WASHINGTON ST",
            "address_2": "SUITE 27",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406795",
            "telephone_number": "630-267-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "CHRISTY",
        "middle_name": "DEANN",
        "credential": "LCPC, CADC,NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180009896",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "18009896",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "33024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.