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DANIELLE NICOLE PERTILLER LCPC
NPI 1780236240
Counselor - Professional in Chicago, IL

Active since July 15, 2019PECOS Enrolled
1105 S WESTERN AVE, CHICAGO, IL 60612(312) 744-5809(312) 744-5809 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 5, 2025, Jul 15, 2019 (2 updates tracked since 2019).

About Danielle Nicole Pertiller Lcpc NPPES

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

DANIELLE NICOLE PERTILLER LCPC (NPI 1780236240) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180013322) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780236240
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDANIELLE NICOLE PERTILLERCredential: LCPC
Location Address1105 S WESTERN AVEChicago, IL 60612-4146
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630 · (630) 428-7890
Phone(312) 744-5809
Fax(312) 744-5809
Sole ProprietorNo
Enumeration DateJuly 15, 2019
Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1780236240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180013322
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1105 S WESTERN AVE, Chicago, IL 60612
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12013 W Jarvis Ave Apt 1Chicago, IL 60645-2373 · Phone (224) 420-2402
Location 2331 W Surf St Ste 809Chicago, IL 60657-7227 · Phone (630) 428-7890

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danielle Nicole Pertiller Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Danielle Pertiller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edgewood Clinical Services, P.C.
29 mi
Psychologist
2948 ARTESIAN RD STE 112
Naperville, IL 60564
  • Reassigned Medicare billing, Illinois enrollment
  • 475 clinicians in this Medicare group
NPI 1295914646 (630) 428-7890

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

LATESHA HARRIS-BOYD LCSW
Social Worker (Clinical)
1105 S WESTERN AVE
CHICAGO, IL 60612
Cook County (312) 746-5905
CHICAGO CITY OF
Clinic/Center (Mental Health (Including Community Mental Health Center))
1105 S WESTERN AVE
CHICAGO, IL 60612
Cook County (312) 746-5905
CINDY ESTRADA LCPC
Counselor (Mental Health)
1105 S WESTERN AVE
CHICAGO, IL 60612
Cook County (312) 746-5905
DAWN T MITCHELL
Counselor (Professional)
1105 S WESTERN AVE
CHICAGO, IL 60612
Cook County (312) 746-5905
JORDAN SEVILLE HENDERSON LPC
Counselor (Mental Health)
1105 S WESTERN AVE
CHICAGO, IL 60612
Cook County (773) 677-6349

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 Danielle Pertiller's NPI number?

The NPI number for Danielle Pertiller is 1780236240. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Where is Danielle Pertiller located?

Danielle Pertiller practices at 1105 S Western Ave, Chicago, IL 60612. The listed phone number is (312) 744-5809.

What is Danielle Pertiller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Danielle Pertiller enrolled in Medicare?

Yes. Danielle Pertiller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Danielle Pertiller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Pertiller reassigns Medicare benefits to Edgewood Clinical Services, P.C. (Naperville, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Danielle Pertiller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Danielle Pertiller was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.