Individual provider Active NPI

Donnamarie Balazs, LCPC

  • Professional Counselor
  • Orland Park, IL
National Provider Identifier
1932773223
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.006157 Issued in IL
Practice address
9641 W 153Rd St Ste 48
Orland Park, IL 60462-3777
Phone
(708) 963-0333
NPI assigned
May 19, 2021
Last updated
May 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.006157 IL
Professional Counselor 101YP2500X 180.006157 IL Primary

Addresses

Primary practice location

9641 W 153Rd St Ste 48
Orland Park, IL 60462-3777

Mailing address

9641 W 153Rd St Ste 48
Orland Park, IL 60462-3777
Phone (708) 963-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • 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
I20260501002181 IL Practitioner - Mental Health Counselor 1052889680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18947 Cicero Ave
Country Club Hills, IL 60478-5432

20109 Driftwood Ave
Lynwood, IL 60411-6812

710 Shoreline Dr
Suite 101
Aurora, IL 60504-6192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.006157ILMDProfessional Counselor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1932773223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9641 W 153RD ST STE 48",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623777",
            "telephone_number": "708-963-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9641 W 153RD ST STE 48",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623777",
            "telephone_number": "708-963-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAZS",
        "first_name": "DONNAMARIE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.006157",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.006157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.