Individual provider Active NPI

Gifty Serwaa Danso

  • Psychiatric/Mental Health Nurse Practitioner
  • Aurora, IL
National Provider Identifier
1255129763
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.031517 Issued in IL
Practice address
1230 N Highland Ave
Aurora, IL 60506-1401
Phone
(630) 966-4338
NPI assigned
Apr 26, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.031517 IL Primary

Addresses

Primary practice location

1230 N Highland Ave
Aurora, IL 60506-1401

Mailing address

26815 Ashgate Xing
Plainfield, IL 60585-2931
Phone (630) 312-9516

Other practice location 1

10406 S Western Ave
Chicago, IL 60643-2508
Phone (312) 857-4475

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260304001302 IL Practitioner - Nurse Practitioner 1153803622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10406 S Western Ave
Chicago, IL 60643-2508

26815 Ashgate Xing
Plainfield, IL 60585-2931

6033 N Sheridan Rd
Suite 106
Chicago, IL 60660-3013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.031517ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrivewell Medical and Behavioral Health Professional Corporation Psychiatric/Mental Health CurrentSince May 19, 2026 Accepting new patients
A Little Assisted Living CurrentSince Feb 20, 2026 Accepting new patients
Beverly Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Feb 20, 2026 Accepting new patients

Locations

10406 S Western Ave
Chicago, IL 60643
Phone (312) 857-4475

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1255129763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26815 ASHGATE XING",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852931",
            "telephone_number": "630-312-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 N HIGHLAND AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061401",
            "telephone_number": "630-966-4338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10406 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606432508",
            "country_code": "US",
            "telephone_number": "312-857-4475",
            "fax_number": "773-666-7241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANSO",
        "first_name": "GIFTY",
        "middle_name": "SERWAA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-26",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.031517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.