IndividualActive
Dylan Prendergast
NPI 1063608206 · Mental Health Counselor · Champaign, IL
Dylan Prendergast is a Mental Health Counselor provider in Champaign, IL (NPI 1063608206).
Provider details
- NPI number
- 1063608206
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
202 W Park Ave
Champaign, IL 61820-3929
Phone: (217) 373-2430
Fax: (217) 352-3797
Street-level locationGet directions
Mailing address
202 W Park Ave
Champaign, IL 61820-3929
Registry dates
- Enumerated
- 2007-09-21
- Last updated
- 2007-09-21
Frequently asked questions
- What is Dylan Prendergast's NPI number?
- Dylan Prendergast's National Provider Identifier (NPI) is 1063608206, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dylan Prendergast's specialty?
- Dylan Prendergast is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Dylan Prendergast located?
- Dylan Prendergast's practice location on file with NPPES is 202 W Park Ave, Champaign, IL 61820-3929.
- What is Dylan Prendergast's phone number?
- The practice phone number listed in the NPPES registry for Dylan Prendergast is (217) 373-2430.
- Is Dylan Prendergast's NPI active?
- Yes — Dylan Prendergast's NPI (1063608206) is active in the NPPES registry as of the last update on 2007-09-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.