Active NPI
Tonya Dawson Sr.
- Addiction (Substance Use Disorder) Counselor
- Richton Park, IL
National Provider Identifier
1821585738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 29127
- Practice address
- 4137 Sauk TRL
Richton Park, IL 60471-1253 - Phone
- (312) 477-6629
- NPI assigned
- Apr 16, 2018
- Last updated
- Apr 16, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 29127 | IL | Primary |
Addresses
Primary practice location
4137 Sauk TRL
Richton Park, IL 60471-1253
Mailing address
4137 Sauk TRL
Richton Park, IL 60471-1253
Phone (312) 477-6629
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 |
|---|---|---|---|
| 29127 | IL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523836800000",
"number": "1821585738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4137 SAUK TRL",
"city": "RICHTON PARK",
"state": "IL",
"postal_code": "604711253",
"telephone_number": "312-477-6629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4137 SAUK TRL",
"city": "RICHTON PARK",
"state": "IL",
"postal_code": "604711253",
"telephone_number": "312-477-6629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "TONYA",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-16",
"last_updated": "2018-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "29127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richton Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.