Organization Active NPI

Garrison Counseling LLC

  • Professional Counselor
  • Grayslake, IL
National Provider Identifier
1003388034
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GARRISON COUNSELING LLC
Practice address
205 Commerce Dr Ste C
Grayslake, IL 60030-1646
Phone
(847) 752-4897
Fax
(847) 548-6671
NPI assigned
Jan 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Victoria Garrison
Title
LCPC-
Phone
(224) 627-2171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

205 Commerce Dr Ste C
Grayslake, IL 60030-1646

Mailing address

205 Commerce Dr Ste C
Grayslake, IL 60030-1646
Phone (847) 752-4897

Other identifiers 1

IdentifierTypeStateIssuer
12487691OtherILCOMMERCIAL INSURANCES

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1003388034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 COMMERCE DR STE C",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301646",
            "telephone_number": "847-752-4897",
            "fax_number": "847-548-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 COMMERCE DR STE C",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301646",
            "telephone_number": "847-752-4897",
            "fax_number": "847-548-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRISON COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "LCPC-",
        "authorized_official_telephone_number": "224-627-2171"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCES",
            "identifier": "12487691",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.