Active NPI
Natalia Vinokur
- Marriage & Family Therapist
- Dekalb, IL
National Provider Identifier
1124359096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166.000757
- Practice address
- 400 E Hillcrest Dr Ste 100
Dekalb, IL 60115-2480 - Phone
- (815) 501-5974
- Fax
- (815) 787-2960
- NPI assigned
- Jan 16, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166.000757 | IL | Primary |
Addresses
Primary practice location
400 E Hillcrest Dr Ste 100
Dekalb, IL 60115-2480
Mailing address
321 Miller Ave
Dekalb, IL 60115-2309
Phone (815) 501-5974
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240315003186 | IL | Practitioner - Marriage and Family Therapist | 9638515398 | Practice locations: Dekalb, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
444 E Hillcrest Dr
Suite 210
Dekalb, IL 60115-2442
Phone (815) 501-5974
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laura Z Gillberg Counseling LLC | Past | Accepting new patients |
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.
-
- Social Worker
- Dekalb, IL
- NPI 1750108957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553558400000",
"number": "1124359096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 MILLER AVE",
"city": "DEKALB",
"state": "IL",
"postal_code": "601152309",
"telephone_number": "815-501-5974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E HILLCREST DR STE 100",
"city": "DEKALB",
"state": "IL",
"postal_code": "601152480",
"telephone_number": "815-501-5974",
"fax_number": "815-787-2960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINOKUR",
"first_name": "NATALIA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-16",
"last_updated": "2019-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166.000757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dekalb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.