Active NPI
Grace Berner
- Counselor
- Northbrook, IL
National Provider Identifier
1073102570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 180.016316
- Practice address
- 4201 Lake Cook Rd Ste 200
Northbrook, IL 60062-1060 - Phone
- (847) 378-7241
- NPI assigned
- Jan 11, 2021
- Last updated
- Nov 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 180.016316 | IL | Primary |
Addresses
Primary practice location
4201 Lake Cook Rd Ste 200
Northbrook, IL 60062-1060
Mailing address
4201 Lake Cook Rd Ste 200
Northbrook, IL 60062-1060
Other practice location 1
1 E Northwest Hwy Ste 212
Palatine, IL 60067-1700
Phone (847) 420-9427
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 |
|---|---|---|---|
| 180.016316 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Berner PLLC | Current | Accepting new patients | |
| The Recovery Center | Past | Accepting new patients | |
| The Recovery Center | Past | Accepting new patients |
Locations
1 E Northwest Hwy
Ste 212
Palatine, IL 60067
Phone (708) 280-6538
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Palatine, IL
- NPI 1639986508
-
- Community/Behavioral Health Agency
- Lancaster, OH
- NPI 1346508116
-
- Addiction (Substance Use Disorder) Counselor
- Lancaster, OH
- NPI 1669449864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1073102570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 LAKE COOK RD STE 200",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 LAKE COOK RD STE 200",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621060",
"telephone_number": "847-378-7241"
}
],
"practiceLocations": [
{
"address_1": "1 E Northwest Hwy Ste 212",
"address_purpose": "LOCATION",
"city": "Palatine",
"state": "IL",
"postal_code": "600671700",
"country_code": "US",
"telephone_number": "847-420-9427",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERNER",
"first_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-11",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180.016316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.