Active NPI
Beatrice Meda Gaurean
- Professional Counselor
- Chicago, IL
National Provider Identifier
1073102141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178016346
- Practice address
- 4941 N Troy St Apt 3
Chicago, IL 60625-7421 - Phone
- (415) 966-7612
- NPI assigned
- Jan 13, 2021
- Last updated
- Jan 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | 446036 | IL | |
| Professional Counselor | 101YP2500X | 178016346 | IL | Primary |
Addresses
Primary practice location
4941 N Troy St Apt 3
Chicago, IL 60625-7421
Mailing address
4941 N Troy St Apt 3
Chicago, IL 60625-7421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178016346 | IL | MD | Professional Counselor |
| 446036 | IL | MD | Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1073102141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4941 N TROY ST APT 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606257421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4941 N TROY ST APT 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606257421",
"telephone_number": "415-966-7612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUREAN",
"first_name": "BEATRICE",
"middle_name": "MEDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-13",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "IL",
"license": "446036",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178016346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.