Timothy C Dennis, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1724 1St St.
Nicasa
Highland Park, IL 60035

Phone

(847) 433-1303

Fax

(847) 433-2324

NPI assigned

Mar 29, 2016

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

Credentials

Master of Arts

Practice roles

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.

• Nicasa, NFP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Highland Park, IL
  • NPI 1194149542
  NPD (past)
• Nicasa, NFP

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Highland Park, IL
  • NPI 1962952499
  NPD (past)

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1962865907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 1ST ST.",
            "address_2": "NICASA",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "60035",
            "telephone_number": "847-433-1303",
            "fax_number": "847-433-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 1ST ST.",
            "address_2": "NICASA",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "60035",
            "telephone_number": "847-433-1303",
            "fax_number": "847-433-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Dorota Day
• Erica Dayan, M.D.
• Sunshine Mary C De la Cruz, RN
• Kimberly Kay Dean, PTA
• Maryann Deleon, MD
• David Joseph Derdiger, L.AC., MSOM
• James H. Desnick, M.D.
• Ellen Diamond, PSY. D.
• Lara Dilanjian, PHARM D
• Ivailo Dichev Dimov, MD

• Mental Health Counselor in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.