Individual provider Active NPI

Donald Lee Mrozek II, LPC, CADC

  • Counselor
  • Downers Grove, IL
National Provider Identifier
1962111237
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
178.018393 Issued in IL
Practice address
921 Curtiss St
Downers Grove, IL 60515-5062
Phone
(630) 300-8928
NPI assigned
Nov 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178.018393 IL Primary

Addresses

Primary practice location

921 Curtiss St
Downers Grove, IL 60515-5062

Mailing address

527 Willowcreek CT
Clarendon Hills, IL 60514-1692
Phone (630) 666-4280

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.unbrokenfamilycounseling.com/

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
178.018393ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Giannasi Mental Health Counselors PastSince Nov 20, 2022 Accepting new patients

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": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1962111237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 WILLOWCREEK CT",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605141692",
            "telephone_number": "630-666-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 CURTISS ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155062",
            "telephone_number": "630-300-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MROZEK",
        "first_name": "DONALD",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LPC, CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.018393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.unbrokenfamilycounseling.com/",
            "affiliation": "N",
            "endpointDescription": "Company website",
            "address_1": "921 Curtiss St",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605155062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.