YVONNE LYNN FANIZZA (LCPC) – Mental Health Counselor, NPI 1982790044

YVONNE LYNN FANIZZA (LCPC) is a healthcare provider. based in St charles, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 180-002022 (IL). The NPI Number for YVONNE LYNN FANIZZA (LCPC) is 1982790044

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
YVONNE LYNN FANIZZA (LCPC)
NPI
1982790044
Phone
(630) 222-7375
Address
2900 FOXFIELD RD
Enumeration Date
5 October 2006
Last Update Date
15 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
1456856558
Group Practice PAC ID
0547765646
Professional Enrollment ID
I20250926004285
Address ID
IL601745731Sa2560XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,308 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for YVONNE LYNN FANIZZA (LCPC)

  • 2900, Foxfield Road, Surrey Woods, St. Charles, Kane County, Illinois, 60174, United States

    SUITE 307

    ST CHARLES, IL 601745799

    Phone: (630) 222-7375

    Type: Location

  • 1340, Coldspring Road, Carol Stream, Wayne Township, DuPage County, Illinois, 60188, United States

    CAROL STREAM, IL 601884712

    Phone: (630) 222-7375

    Fax: (630) 289-5871

    Type: Mailing

  • 2560 FOXFIELD RD STE 320

    SAINT CHARLES, IL 601745731

    Phone: (630) 222-7375

    Fax: (630) 289-5871

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250926004285IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60174)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547765646View full group profile
NameSpecialtyState
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

Is there an official ID for YVONNE LYNN FANIZZA (LCPC) in U.S. healthcare records?
The official identifier for YVONNE LYNN FANIZZA (LCPC) is NPI 1982790044.
Active or inactive — what applies to YVONNE LYNN FANIZZA (LCPC)?
You should see YVONNE LYNN FANIZZA (LCPC) as active in CMS-hosted NPPES data.
How would a patient describe YVONNE LYNN FANIZZA (LCPC)'s focus?
For YVONNE LYNN FANIZZA (LCPC), the primary taxonomy reads as Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with YVONNE LYNN FANIZZA (LCPC)?
Directory geography for YVONNE LYNN FANIZZA (LCPC) centers on St Charles, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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