Thomas Dworak, LPC-IT SAC-IT

Primary specialty

CounselorTaxonomy code 101Y00000X

License

178018223 Issued in IL

Practice address

820 E Terra Cotta Ave Ste 116
Crystal Lake, IL 60014-3650

Phone

(224) 256-2607

NPI assigned

Mar 20, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1932593639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E TERRA COTTA AVE STE 116",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143650",
            "telephone_number": "224-256-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E TERRA COTTA AVE STE 116",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143650",
            "telephone_number": "224-256-2607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 E Badger Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537132708",
            "country_code": "US",
            "telephone_number": "608-250-2512 x228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWORAK",
        "first_name": "THOMAS",
        "credential": "LPC-IT SAC-IT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-20",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178018223",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16745-130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.