Individual provider Active NPI

Gelana L McCloud, LCPC

  • Mental Health Counselor
  • Pekin, IL
National Provider Identifier
1033644851
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.010622 Issued in IL
Practice address
333 Margaret St
Pekin, IL 61554-3268
Phone
(309) 407-7771
Fax
(309) 620-8623
NPI assigned
Apr 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.010622 IL Primary

Addresses

Primary practice location

333 Margaret St
Pekin, IL 61554-3268

Mailing address

333 Margaret St
Pekin, IL 61554-3268
Phone (309) 407-7771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240711002600 IL Practitioner - Mental Health Counselor 9133664394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 Margaret St
Pekin, IL 61554-3268
Phone (309) 407-7771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.010622ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
GK Enterprise LLC Mental Health CurrentSince Jun 5, 2024 Accepting new patients

Locations

333 Margaret St
Pekin, IL 61554
Phone (309) 407-7771

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1033644851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MARGARET ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615543268",
            "telephone_number": "309-407-7771",
            "fax_number": "309-620-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MARGARET ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615543268",
            "telephone_number": "309-407-7771",
            "fax_number": "309-620-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOUD",
        "first_name": "GELANA",
        "middle_name": "L",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-30",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.010622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pekin, IL

Sources for this page

Verify at the official NPI Registry.