Healthcare Provider Details

I. General information

NPI: 1306647656
Provider Name (Legal Business Name): CENTER POINT COUNSELING ILLINOIS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2025
Last Update Date: 03/22/2025
Certification Date: 03/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 SPINNING WHEEL RD STE 118
HINSDALE IL
60521-2983
US

IV. Provider business mailing address

763 S PROSPECT AVE
ELMHURST IL
60126-4816
US

V. Phone/Fax

Practice location:
  • Phone: 630-453-1792
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: KAREN DORNER
Title or Position: PRESIDENT/PRACTICE OWNER
Credential: LCPC
Phone: 630-453-1792