Individual provider Active NPI

Dana Marie Pauley

  • Professional Counselor
  • Elgin, IL
National Provider Identifier
1942779723
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180013350 Issued in IL
Practice address
1845 Grandstand PL
Elgin, IL 60123-6603
Phone
(847) 695-0484
NPI assigned
Nov 21, 2018
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180013350 IL Primary

Addresses

Primary practice location

1845 Grandstand PL
Elgin, IL 60123-6603

Mailing address

2700 Keslinger Rd Ste B
Geneva, IL 60134-4645
Phone (630) 765-3214

Other practice location 1

106 S Lincolnway Ste D
North Aurora, IL 60542-1597
Phone (630) 801-1669

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
I20240426002067 IL Practitioner - Mental Health Counselor 5991145708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

155 W Prairiefield Ave
Cortland, IL 60112-4142

333 N Randall Rd
Suite 162
St Charles, IL 60174-1698
Phone (630) 217-0442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180013350ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dana Pauley LCPC LLC Professional CurrentSince Dec 2, 2024 Accepting new patients
Ronald B Bukowy MD SC CurrentSince Jul 23, 2023 Accepting new patients

Locations

2700 Keslinger Rd
Ste B
Geneva, IL 60134
Phone (630) 262-1500

Organizations & group practices 2

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": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1942779723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 KESLINGER RD STE B",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344645",
            "telephone_number": "630-765-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 GRANDSTAND PL",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601236603",
            "telephone_number": "847-695-0484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 S Lincolnway Ste D",
            "address_purpose": "LOCATION",
            "city": "North Aurora",
            "state": "IL",
            "postal_code": "605421597",
            "country_code": "US",
            "telephone_number": "630-801-1669",
            "fax_number": "630-801-1675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULEY",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-21",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180013350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.