LILAC DRAGONFLY THERAPY
NPI 1972215853
Counselor - Mental Health in Lockport, IL
About Lilac Dragonfly Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LILAC DRAGONFLY THERAPY (NPI 1972215853) is a healthcare organization registered as a mental health in Lockport, Illinois and active in the NPI registry since December 2022. The organization lists Julia Dombrow, Owner And Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lilac Dragonfly Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Lilac Dragonfly Therapy, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lilac Dragonfly Therapy's NPI number?
The NPI number for Lilac Dragonfly Therapy is 1972215853. It was assigned to this organization in the NPPES registry on December 22, 2022.
Where is Lilac Dragonfly Therapy located?
Lilac Dragonfly Therapy is located at 506 Rhonda Dr, Lockport, IL 60441. The listed phone number is (708) 505-6747.
What is Lilac Dragonfly Therapy's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Lilac Dragonfly Therapy enrolled in Medicare?
Yes. Lilac Dragonfly Therapy is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lilac Dragonfly Therapy?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lilac Dragonfly Therapy, in Clinical Social Worker and Mental Health Counselor. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lilac Dragonfly Therapy was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Lilac Dragonfly Therapy · NPI 1972215853
Mental Health organization in Lockport, Illinois. Organization record, active in the CMS NPPES registry since December 22, 2022.
## Identity
- **NPI:** 1972215853 (Entity type: Organization)
- **Enumerated:** December 22, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Julia Dombrow, OWNER AND THERAPIST
## Practice location
- **Address:** 506 RHONDA DR, Lockport, IL 60441-3346
- **Phone:** (708) 505-6747
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (1), Mental Health Counselor (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1972215853) · Data from the CMS NPPES public registry.