Individual provider Active NPI

Robert John Geiss, PHD

  • Professional Counselor
  • Rolling Meadows, IL
National Provider Identifier
1093839441
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-1244 Issued in IL
Practice address
4200 Euclid Ave
Rolling Meadows, IL 60008-2083
Phone
(847) 776-8273
NPI assigned
Mar 19, 2007
Last updated
May 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180-1244 IL Primary

Addresses

Primary practice location

4200 Euclid Ave
Rolling Meadows, IL 60008-2083

Mailing address

1283 S Falcon Dr
Palatine, IL 60067-2387
Phone (847) 776-8273

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
I20241105002031 IL Practitioner - Mental Health Counselor 5496289001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12480 Russet LN
Huntley, IL 60142-6427
Phone (847) 833-8544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
180-1244ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Journeys Counseling Center, LLC Professional CurrentSince Oct 15, 2024 Accepting new patients

Locations

4200 Euclid Ave
Rolling Meadows, IL 60008
Phone (847) 721-6466

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1093839441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 S FALCON DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600672387",
            "telephone_number": "847-776-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 EUCLID AVE",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600082083",
            "telephone_number": "847-776-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISS",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-1244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

Verify at the official NPI Registry.