Active NPI
Rachel Kommit Gossan, M.A., BCBA
- Behavior Analyst
- Lincolnwood, IL
National Provider Identifier
1184090730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 4433 W Touhy Ave
Suit 335
Lincolnwood, IL 60712-1820 - Phone
- (877) 486-4140
- NPI assigned
- Aug 18, 2015
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
4433 W Touhy Ave
Suit 335
Lincolnwood, IL 60712-1820
Mailing address
1000 E Paris Ave SE Ste 155
Grand Rapids, MI 49546-8313
Phone (231) 668-4909
Other names 1
- Rachel Anne Kommit
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acorn Health, LLC. | Behavior Analyst | 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.
-
- Behavior Analyst
- Coral Gables, FL
- NPI 1801494679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1184090730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E PARIS AVE SE STE 155",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468313",
"telephone_number": "231-668-4909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4433 W TOUHY AVE",
"address_2": "SUIT 335",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121820",
"telephone_number": "877-486-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSSAN",
"first_name": "RACHEL",
"middle_name": "KOMMIT",
"credential": "M.A., BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-18",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "KOMMIT",
"middle_name": "ANNE",
"credential": "M.A., BCBA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lincolnwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.