Leon John Dibiasio, M.A., NCC, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.007903 Issued in IL

Practice address

6508 Barclay CT
Downers Grove, IL 60516-2465

Phone

(630) 200-5452

NPI assigned

Jun 23, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1992091342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6508 BARCLAY CT",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605162465",
            "telephone_number": "630-200-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6508 BARCLAY CT",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605162465",
            "telephone_number": "630-200-5452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3317 W 95th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Evergreen Park",
            "state": "IL",
            "postal_code": "608052243",
            "country_code": "US",
            "telephone_number": "630-200-5452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIBIASIO",
        "first_name": "LEON",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "M.A., NCC, LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Professional Counselor in Illinois

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