Active NPI
Danielle Nowak, LPC
- Professional Counselor
- Elburn, IL
National Provider Identifier
1942877592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178012426
- Practice address
- 21 S Main St Unit a
Elburn, IL 60119-9194 - Phone
- (217) 471-4229
- NPI assigned
- Jun 10, 2021
- Last updated
- Jun 10, 2021
- 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 | 178012426 | IL | Primary |
Addresses
Primary practice location
21 S Main St Unit a
Elburn, IL 60119-9194
Mailing address
1104 Depot St
Davis Junction, IL 61020-9754
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178012426 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modus Operandi LLC | Current | Accepting new patients |
Locations
21 S Main St
Unit A
Elburn, IL 60119
Phone (217) 471-4229
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.
-
dba Blackberry Counseling Center
- Mental Health Counselor
- Elburn, IL
- NPI 1821684986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1942877592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 DEPOT ST",
"city": "DAVIS JUNCTION",
"state": "IL",
"postal_code": "610209754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 S MAIN ST UNIT A",
"city": "ELBURN",
"state": "IL",
"postal_code": "601199194",
"telephone_number": "217-471-4229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAK",
"first_name": "DANIELLE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-10",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178012426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elburn, IL
- Michael Schuiling DDS PLLC (Blackberry Dental)
- Miranda Lyn Middona, LCSW
- Marion Jean Miller, R.N.
- Mind Matters PLLC
- Modus Operandi LLC (Blackberry Counseling Center)
- Ocken Speech Therapy LLC
- Orawin Technology (Orawin Sleep Mobile Technology)
- Teodor Paraskevov
- Lazarina Kostova Paraskevova, CSA
- Heather R. Partoll, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.