Organization Active NPI

Dearbone Counseling Center, Inc

  • Mental Health Counselor
  • Elmhurst, IL
National Provider Identifier
1902333651
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180004943 Issued in IL
Legal business name
DEARBONE COUNSELING CENTER, INC
Practice address
340 W Butterfield Rd
Elmhurst, IL 60126-5069
Phone
(708) 606-9895
Fax
(708) 449-5953
NPI assigned
May 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Authorized official

Name
Detrall Arnell Dearbone-Collins, MS
Title
Ceo
Phone
(708) 606-9895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 180004943 IL Primary

Addresses

Primary practice location

340 W Butterfield Rd
Elmhurst, IL 60126-5069

Mailing address

54 N Wolf Rd
Hillside, IL 60162-1630
Phone (078) 606-9895

Other identifiers 1

IdentifierTypeStateIssuer
3556092641MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1902333651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 N WOLF RD",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601621630",
            "telephone_number": "078-606-9895",
            "fax_number": "708-449-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W BUTTERFIELD RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265069",
            "telephone_number": "708-606-9895",
            "fax_number": "708-449-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBONE COUNSELING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "DEARBONE-COLLINS",
        "authorized_official_first_name": "DETRALL",
        "authorized_official_middle_name": "ARNELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-606-9895",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180004943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3556092641",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.