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

Active since November 24, 2021Opted out of Medicare · through Dec 9, 2027
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: August 09, 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. She has opted out of Medicare through December 9, 2027.

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 CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dominque Murrell has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 9, 2025 through December 9, 2027.

Opt-Out Effective DateDecember 9, 2025
Opt-Out In Effect ThroughDecember 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

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

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 Dominque Murrell's NPI number?

The NPI number for Dominque Murrell is 1336806389. It was assigned to this individual provider in the NPPES registry on November 24, 2021.

Where is Dominque Murrell located?

Dominque Murrell practices at 6713 Kingery Hwy, Willowbrook, IL 60527. The listed phone number is (773) 234-0423.

What is Dominque Murrell's specialty?

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

Is Dominque Murrell enrolled in Medicare?

No. Dominque Murrell has opted out of Medicare through December 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Dominque Murrell was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.