Individual provider Active NPI

Danielle Guerra Mains

  • Mental Health Counselor
  • Lake Zurich, IL
National Provider Identifier
1922829191
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.020790 Issued in IL
Practice address
765 Ela Rd Ste 300
Lake Zurich, IL 60047-6306
Phone
(847) 550-4520
NPI assigned
Oct 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.020790 IL Primary

Addresses

Primary practice location

765 Ela Rd Ste 300
Lake Zurich, IL 60047-6306

Mailing address

10548 Oxford Dr
Huntley, IL 60142-2377
Phone (224) 800-2575

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

LicenseStateTypeSpecialty
178.020790ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
911 Wellness Group, LLC. CurrentSince Oct 27, 2024 Accepting new patients

Locations

765 Ela Rd
Ste 300
Lake Zurich, IL 60047
Phone (331) 684-7683

Organizations & group practices 1

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": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1922829191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10548 OXFORD DR",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601422377",
            "telephone_number": "224-800-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 ELA RD STE 300",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600476306",
            "telephone_number": "847-550-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINS",
        "first_name": "DANIELLE",
        "middle_name": "GUERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.020790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.