Good Life Counseling PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

GOOD LIFE COUNSELING PLLC

Practice address

101 N Virginia St Ste 120
Crystal Lake, IL 60014-3439

Phone

(815) 893-9544

NPI assigned

Oct 31, 2022

Organization subpart

No

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

Authorized official

Name

Jane W Zamudio, LCPCNPI 1972220085

Title

Owner

Phone

(224) 800-0165

Specialties & licenses 1

Addresses

Other names 1

• Good Life Counseling LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jane Wolfe Zamudio, LCPC

  • Professional Counselor
  • Crystal Lake, IL
  • NPI 1972220085
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1053028142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N VIRGINIA ST STE 120",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143439",
            "telephone_number": "224-762-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N VIRGINIA ST STE 120",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143439",
            "telephone_number": "815-893-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2024-02-02",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "ZAMUDIO",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-800-0165",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Life Counseling LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Good Life Counseling LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Juliana Gonzales-Hannon, CNP
• Elisabet Gonzalez, BT
• Gabriela Gonzalez
• Jasmine Gonzalez, LSW
• Wendy Daniella Gonzalez
• David A Goodman, MD PHD
• Morgan Goorsky, LCSW
• Andrew Tait Gordinier
• Olesea Gore, LPC
• Lorena A. Gorey, ED.D.

• Professional Counselor in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.