Active NPI
Donna Lee Ulanowski, MA LCPC
- Professional Counselor
- Olympia Fields, IL
National Provider Identifier
1912004086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 3612 W Lincoln Highway
Suite 17 Personal Growth Center
Olympia Fields, IL 60461 - Phone
- (708) 503-9400
- Fax
- (708) 534-8639
- NPI assigned
- Sep 20, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IL | Primary |
Addresses
Primary practice location
3612 W Lincoln Highway
Suite 17 Personal Growth Center
Olympia Fields, IL 60461
Mailing address
5758 Timberlake West
Monee, IL 60449
Phone (708) 534-8699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01632691 | Other | IL | BLUE CROSS BLUE SHIELD |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180002079 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912004086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5758 TIMBERLAKE WEST",
"city": "MONEE",
"state": "IL",
"postal_code": "60449",
"telephone_number": "708-534-8699",
"fax_number": "708-534-8639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3612 W LINCOLN HIGHWAY",
"address_2": "SUITE 17 PERSONAL GROWTH CENTER",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "60461",
"telephone_number": "708-503-9400",
"fax_number": "708-534-8639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULANOWSKI",
"first_name": "DONNA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "MA LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "01632691",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olympia Fields, IL
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.