Individual provider Active NPI

Richard Gauthier, LCSW

  • Clinical Social Worker
  • Wilmette, IL
National Provider Identifier
1053083899
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.026110 Issued in IL
Practice address
3330 Old Glenview Rd Ste 9
Wilmette, IL 60091-2963
Phone
(847) 920-7920
NPI assigned
Sep 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.026110 IL Primary
Clinical Social Worker 1041C0700X I.2607926 OH

Addresses

Primary practice location

3330 Old Glenview Rd Ste 9
Wilmette, IL 60091-2963

Mailing address

3330 Old Glenview Rd Ste 9
Wilmette, IL 60091-2963
Phone (847) 920-7920

Other practice location 1

1580 S Milwaukee Ave Ste 225
Libertyville, IL 60048-3772
Phone (847) 920-7920

Other names 1

  • Rich Gauthier Other name

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
I20240306003836 IL Practitioner - Clinical Social Worker 2668818162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3330 Old Glenview Rd
Suite 9
Wilmette, IL 60091-2963
Phone (847) 920-7920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.026110ILMDClinical Social Worker
I.2607926OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Open Horizons Counseling PLLC Clinical CurrentSince Aug 11, 2025 Accepting new patients

Locations

1580 S Milwaukee Ave
Ste 225
Libertyville, IL 60048
Phone (847) 920-7920

3330 Old Glenview Rd
Ste 9
Wilmette, IL 60091
Phone (847) 421-1076

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": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1053083899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 OLD GLENVIEW RD STE 9",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912963",
            "telephone_number": "847-920-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 OLD GLENVIEW RD STE 9",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912963",
            "telephone_number": "847-920-7920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1580 S Milwaukee Ave Ste 225",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600483772",
            "country_code": "US",
            "telephone_number": "847-920-7920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "RICHARD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026110",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2607926",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICH",
            "last_name": "GAUTHIER",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmette, IL

Sources for this page

Verify at the official NPI Registry.