IndividualActive
Debra Conley
NPI 1417660093 · Mental Health Counselor · Bolingbrook, IL
Provider details
- NPI number
- 1417660093
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 150.108607 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% 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
404 W Boughton Rd Ste B
Bolingbrook, IL 60440-1898
Phone: (630) 685-4053
Fax: (630) 596-1478
Street-level locationGet directions
Mailing address
22736 Redwood Dr
Richton Park, IL 60471-2331
Registry dates
- Enumerated
- 2022-12-28
- Last updated
- 2022-12-30
- Certified
- 2022-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.