Individual provider Active NPI

Jeanine Ogorek, LCPC

  • Professional Counselor
  • Northbrook, IL
National Provider Identifier
1245622794
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.014026 Issued in IL
Practice address
900 Skokie Blvd Ste 218
Northbrook, IL 60062-4043
Phone
(847) 668-4295
NPI assigned
Feb 20, 2015
Last updated
Apr 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.010464 IL
Professional Counselor 101YP2500X 180.014026 IL Primary

Addresses

Primary practice location

900 Skokie Blvd Ste 218
Northbrook, IL 60062-4043

Mailing address

900 Skokie Blvd Ste 218
Northbrook, IL 60062-4043
Phone (847) 668-4295

Other practice location 1

89 Cedar Ave
Lake Villa, IL 60046-8411
Phone (847) 265-7300

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

State licenses

LicenseStateTypeSpecialty
178.010464ILMDProfessional Counselor
180.014026ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Family Services, LLC CurrentSince Apr 17, 2022 Accepting new patients
North Shore Family Services CurrentSince Dec 28, 2022 Accepting new patients
Birth to Three & Beyond Pediatric Therapies, LLC Professional Past Accepting new patients
The Therapy Tree D.B.a. Birth to Three & Beyond Pediatric Therapies Past Accepting new patients

Locations

900 Skokie Blvd
Ste 218
Northbrook, IL 60062
Phone (847) 668-4295

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1245622794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 218",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624043",
            "telephone_number": "847-668-4295",
            "fax_number": "847-668-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 218",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624043",
            "telephone_number": "847-668-4295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89 Cedar Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Villa",
            "state": "IL",
            "postal_code": "600468411",
            "country_code": "US",
            "telephone_number": "847-265-7300",
            "fax_number": "847-235-7301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGOREK",
        "first_name": "JEANINE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-20",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.010464",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.014026",
            "primary": true
        }
    ],
    "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 Apr 11, 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.