Gray Owl Psychotherapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GRAY OWL PSYCHOTHERAPY LLC

Practice address

4825 Scott St Ste 208
Schiller Park, IL 60176-1210

Phone

(773) 470-9999

NPI assigned

Sep 17, 2025

Organization subpart

No

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

Authorized official

Name

Greg Dziedzic, LCPCNPI 1720784440

Title

Owner

Phone

(224) 595-2735

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Greg Dziedzic, CRC, LPC

  • Mental Health Counselor
  • Schiller Park, IL
  • NPI 1720784440
  NPD Authorized official

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1255203592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 TRATEBAS RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463839752",
            "telephone_number": "773-470-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 SCOTT ST STE 208",
            "city": "SCHILLER PARK",
            "state": "IL",
            "postal_code": "601761210",
            "telephone_number": "773-470-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY OWL PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "DZIEDZIC",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-595-2735",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Grace Diamanre, RN
• Jennifer Tatiana Diaz, RPH
• Mary Alice Doyle, DPM
• Greg Dziedzic, CRC, LPC
• Julianna Destiny Estremera, PHARMD
• Myryl Gula, PHARMD
• Heart to Heart Hospice Corp
• Jaclyn Hood
• Tuong Van Huynh, PHARMD
• J Wynveen

• Mental Health Counselor in Schiller Park, IL
• Providers in Schiller 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 28, 2026; 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.