Organization Active NPI

Kinesphere Counseling LLC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1114679511
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KINESPHERE COUNSELING LLC
Practice address
3166 N Lincoln Ave Ste 307
Chicago, IL 60657-3119
Phone
(708) 525-6152
NPI assigned
Jan 26, 2022
Last updated
Jan 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Mrs. Gail Gogliotti, LCPCNPI 1558782144
Title
Managing Director
Phone
(708) 525-6152

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3166 N Lincoln Ave Ste 307
Chicago, IL 60657-3119

Mailing address

3634 N Tripp Ave
Chicago, IL 60641-3037
Phone (708) 525-6152

National Provider Directory

National Provider Directory

Locations

3166 N Lincoln Ave
Ste 307
Chicago, IL 60657
Phone (312) 945-6775

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1114679511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 N TRIPP AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413037",
            "telephone_number": "708-525-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 N LINCOLN AVE STE 307",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573119",
            "telephone_number": "708-525-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINESPHERE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "GOGLIOTTI",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "708-525-6152",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.