Individual provider Active NPI

Guylaine Lucille Herzig, MS, MA, LCPC

  • Mental Health Counselor
  • Northbrook, IL
National Provider Identifier
1184387359
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.013208 Issued in IL
Practice address
900 Skokie Blvd Ste 255
Northbrook, IL 60062-4054
Phone
(312) 870-0120
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.013208 IL Primary
Professional Counselor 101YP2500X 180.013208 IL

Addresses

Primary practice location

900 Skokie Blvd Ste 255
Northbrook, IL 60062-4054

Mailing address

1029 South Blvd
Evanston, IL 60202-2751
Phone (773) 470-8324

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, Master of Science

State licenses

LicenseStateTypeSpecialty
180.013208ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Natalia Kaczmarek LLC Mental Health CurrentSince Jan 12, 2025 Accepting new patients
Natalia Kaczmarek PLLC Mental Health PastSince Dec 21, 2021 Accepting new patients

Locations

900 Skokie Blvd
Ste 255
Northbrook, IL 60062
Phone (312) 500-1895

1011 Lake St
Ste 425
Oak Park, IL 60301
Phone (312) 702-6370

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1184387359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 SOUTH BLVD",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022751",
            "telephone_number": "773-470-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 255",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624054",
            "telephone_number": "312-870-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZIG",
        "first_name": "GUYLAINE",
        "middle_name": "LUCILLE",
        "credential": "MS, MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.013208",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.013208",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.