DOMINQUE MURRELL
NPI 1336806389
Counselor - Mental Health in Willowbrook, IL

Active since November 24, 2021
6713 KINGERY HWY, WILLOWBROOK, IL 60527(773) 234-0423 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 17, 2023, Nov 24, 2021 (2 updates tracked since 2021).

About Dominque Murrell NPPES

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

DOMINQUE MURRELL (NPI 1336806389) is an individual mental health provider in Willowbrook, Illinois, licensed in Illinois (178.017485) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1336806389
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDOMINQUE MURRELL
Location Address6713 KINGERY HWYWillowbrook, IL 60527-5142
Mailing Address6925 Lexington CtTinley Park, IL 60477-1670 · (813) 541-2796
Sole ProprietorNo
Enumeration DateNovember 24, 2021
Last NPPES UpdateNovember 17, 20232 updates tracked since enumeration
NPPES CertifiedNovember 17, 2023
NPI 1336806389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 178.017485
Also ListedCounselorTaxonomy 101Y00000X · License 178.017485 (IL)
6713 KINGERY HWY, Willowbrook, IL 60527

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 12-09-2025

  • Opt-Out End Date: 12-09-2027

  • Eligible to Order and Refer? No

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Counselor (Mental Health)
6713 KINGERY HWY
WILLOWBROOK, IL 60527
Counselor (Professional)
6713 KINGERY HWY
WILLOWBROOK, IL 60527
Social Worker (Clinical)
6713 KINGERY HWY
WILLOWBROOK, IL 60527
Counselor
6713 KINGERY HWY
WILLOWBROOK, IL 60527

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336806389, enumerated as an "individual" on November 24, 2021.

The provider is located at 6713 KINGERY HWY WILLOWBROOK, IL 60527 and the phone number is (773) 234-0423.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.