Individual provider Active NPI

Robert Bernard Allanson, M.S., LCPC, CADC

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1851787154
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180011386 Issued in IL
Practice address
640 S Washington St
Naperville, IL 60540-6603
Phone
(815) 942-6323
Fax
(815) 942-6363
NPI assigned
Apr 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 178011372 IL
Professional Counselor 101YP2500X 180011386 IL Primary

Addresses

Primary practice location

640 S Washington St
Naperville, IL 60540-6603

Mailing address

PO Box 713260
Chicago, IL 60677-0018
Phone (630) 469-9200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rallanson175338@dulyhealthandcare.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104004674 IL Practitioner - Mental Health Counselor 8426409384 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
178011372ILMDAddiction (Substance Use Disorder) Counselor
180011386ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Illinois Medical PC CurrentSince Feb 25, 2024 Accepting new patients
Premise Health of Illinois Medical PC Current Accepting new patients
Dupage Medical Group LTD CurrentSince Jan 1, 2024 Accepting new patients
Premise Health of Illinois Medical PC CurrentSince Feb 25, 2024 Accepting new patients
Dupage Medical Group LTD CurrentSince Jan 1, 2024 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

16906 Collection Ctr Dr
Chicago, IL 60693

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

1710 N Randall Rd
Ste 380
Elgin, IL 60123
Phone (847) 450-6057

4979 Indiana Ave
Lisle, IL 60532
Phone (312) 337-4150

640 S Washington St
Ste 350
Naperville, IL 60540
Phone (630) 596-0060

640 S Washington St
Naperville, IL 60540
Phone (630) 428-1500

Interoperability endpoints

  • Direct secure messaging: rallanson175338@dulyhealthandcare.direct-ci.com

Organizations & group practices 5

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": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1851787154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606770018",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S WASHINGTON ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406603",
            "telephone_number": "815-942-6323",
            "fax_number": "815-942-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLANSON",
        "first_name": "ROBERT",
        "middle_name": "BERNARD",
        "name_prefix": "Mr.",
        "credential": "M.S., LCPC, CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "178011372",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180011386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rallanson175338@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "640 S Washington St",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.