Gina Buckley

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

105 N Oak Park Ave Ste 2B
Oak Park, IL 60301-1364

Phone

(773) 423-8447

NPI assigned

Aug 26, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1124851068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N OAK PARK AVE STE 2B",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011364",
            "telephone_number": "773-423-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N OAK PARK AVE STE 2B",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011364",
            "telephone_number": "773-423-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "GINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen William Bryant, MACP, MAFP, LPC
• Bryn Poulton Clinical Services, PLLC
• Loraine A. Brzozowski, ACNP-BC
• BSMC-Aom Inc
• Morgan Buck, MA, BCBA
• Lisa Buckley, LCSW
• Salena Budinger
• Johnathon Austin Buen-Gharib, DMD
• Rosemarie M Buen, DMD
• Jessica Bullock

• Mental Health Counselor in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.