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DYLAN PATRICK PRENDERGAST
NPI 1063608206
Counselor - Mental Health in Champaign, IL

Active since September 21, 2007
202 W PARK AVE, CHAMPAIGN, IL 61820(217) 373-2430(217) 352-3797 Get Directions Write a Review

NPPES record last updated: September 21, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dylan Patrick Prendergast NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYLAN PATRICK PRENDERGAST (NPI 1063608206) is an individual mental health provider in Champaign, Illinois and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1063608206
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDYLAN PATRICK PRENDERGAST
Location Address202 W PARK AVEChampaign, IL 61820-3929
Mailing Address202 W Park AveChampaign, IL 61820-3929 · (217) 373-2430 · Fax (217) 352-3797
Phone(217) 373-2430
Fax(217) 352-3797
Sole ProprietorYes
Enumeration DateSeptember 21, 2007
✔ NPI 1063608206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
202 W PARK AVE, Champaign, IL 61820
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS JOSEPHINE F KALIPENI
Rehabilitation Counselor
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 373-2428
MARK HUANG ZINGER LSW
Social Worker
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 373-2430
MS. JOHANNA HERMINA WILLEMSE BA, MHP
Counselor (Mental Health)
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 373-2436
COURTNEY STREET BSW
Counselor
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 693-4613
CALEB STEVEN PARKER HIGH SCHOOL DIPLOMA
Rehabilitation Counselor
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 355-1697
MISS MARIA F HUANCA
Social Worker
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 398-8080
MS. JACQUELINE CHRISTINE THOMAS
Social Worker
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 373-2430
SANDRA KINNEY
Licensed Practical Nurse
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 373-2430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dylan Prendergast's NPI number?

The NPI number for Dylan Prendergast is 1063608206. It was assigned to this individual provider in the NPPES registry on September 21, 2007.

Where is Dylan Prendergast located?

Dylan Prendergast practices at 202 W Park Ave, Champaign, IL 61820. The listed phone number is (217) 373-2430.

What is Dylan Prendergast's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Dylan Prendergast was last updated on September 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.