Provider Demographics
NPI:1336525757
Name:PIPIA, COLLEEN (LCPC)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:
Last Name:PIPIA
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SALT CREEK LN
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-2903
Mailing Address - Country:US
Mailing Address - Phone:331-221-2564
Mailing Address - Fax:331-221-2718
Practice Address - Street 1:8 SALT CREEK LN
Practice Address - Street 2:SUITE 202
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-2903
Practice Address - Country:US
Practice Address - Phone:331-221-2520
Practice Address - Fax:331-221-2718
Is Sole Proprietor?:No
Enumeration Date:2015-08-07
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.009786101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor