Active NPI
Jacqueline Perry Dauw, MA, LPC
- Professional Counselor
- Lemont, IL
National Provider Identifier
1972895878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178006487
- Practice address
- 40 Timberline Dr
Lemont, IL 60439-3848 - Phone
- (630) 248-4950
- NPI assigned
- May 10, 2011
- Last updated
- May 27, 2011
- 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 | 178006487 | IL | Primary |
Addresses
Primary practice location
40 Timberline Dr
Lemont, IL 60439-3848
Mailing address
2236 W Belden Ave
Apt. 2F
Chicago, IL 60647-3250
Phone (949) 439-2525
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178006487 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306454400000",
"number": "1972895878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2236 W BELDEN AVE",
"address_2": "APT. 2F",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606473250",
"telephone_number": "949-439-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 TIMBERLINE DR",
"city": "LEMONT",
"state": "IL",
"postal_code": "604393848",
"telephone_number": "630-248-4950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUW",
"first_name": "JACQUELINE",
"middle_name": "PERRY",
"name_prefix": "Ms.",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-10",
"last_updated": "2011-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178006487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lemont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.