Active NPI
John J Buckley, LCPC
- Professional Counselor
- West Dundee, IL
National Provider Identifier
1841320645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1800004705
- Practice address
- 600 Spring Hill Ring Rd
Suite 108
West Dundee, IL 60118-7300 - Phone
- (800) 428-7260
- Fax
- (847) 428-7269
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1800004705 | IL | Primary |
Addresses
Primary practice location
600 Spring Hill Ring Rd
Suite 108
West Dundee, IL 60118-7300
Mailing address
1845 Grandstand PL
Elgin, IL 60123-6603
Phone (847) 695-0484
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 |
|---|---|---|---|
| 1800004705 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841320645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 GRANDSTAND PL",
"city": "ELGIN",
"state": "IL",
"postal_code": "601236603",
"telephone_number": "847-695-0484",
"fax_number": "847-695-0397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 SPRING HILL RING RD",
"address_2": "SUITE 108",
"city": "WEST DUNDEE",
"state": "IL",
"postal_code": "601187300",
"telephone_number": "800-428-7260",
"fax_number": "847-428-7269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLEY",
"first_name": "JOHN",
"middle_name": "J",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "1800004705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Dundee, IL
- Graziella I Bistriceanu, M.D.
- Angela R Black Childers, L.C.S.W.
- Bodyworks Medical Center of WD PLLC
- Bodyworks Medical Center of West Dundee PLLC
- Erin Bracken, LCSW
- Nicole Rae Butcher, OTR/L
- Jasmin Buthman, APRN
- Center for Chiropractic Medicine, LTD
- Center for Study Gu Diseases
- Chiropractic Family Health Clinic WD LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.