Individual provider Active NPI

Courtney Doyle-O'Brien, LCPC

  • Professional Counselor
  • Channahon, IL
National Provider Identifier
1801212394
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178005989 Issued in IL
Practice address
24735 W Eames St Unit 11
Channahon, IL 60410-8712
Phone
(815) 353-3122
NPI assigned
Mar 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.014670 IL
Professional Counselor 101YP2500X 178005989 IL Primary

Addresses

Primary practice location

24735 W Eames St Unit 11
Channahon, IL 60410-8712

Mailing address

24735 W Eames St Unit 11
Channahon, IL 60410-8712
Phone (815) 353-3122

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

LicenseStateTypeSpecialty
178005989ILMDProfessional Counselor
180.014670ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Therapy Center Current Accepting new patients
PHC of Buffalo Grove Clinical Psychology Past Accepting new patients
Aspire-Center for Positive Change Past Accepting new patients
PHC of Buffalo Grove Nutrition PastSince Jan 1, 2013 Accepting new patients

Locations

24735 W Eames St
Unit 11
Channahon, IL 60410
Phone (815) 290-5076

Organizations & group practices 4

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": "1394323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1801212394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24735 W EAMES ST UNIT 11",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604108712",
            "telephone_number": "815-353-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24735 W EAMES ST UNIT 11",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604108712",
            "telephone_number": "815-353-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE-O'BRIEN",
        "first_name": "COURTNEY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-09",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.014670",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178005989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Channahon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.

Verify at the official NPI Registry.