Active NPI
Debra McGowan, MA,MS,LCPC
- Mental Health Counselor
- Winnetka, IL
National Provider Identifier
1265799191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180002145
- Practice address
- 1299 Hackberry LN
Winnetka, IL 60093-1605 - Phone
- (847) 256-4950
- NPI assigned
- Apr 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180002145 | IL | Primary |
Addresses
Primary practice location
1299 Hackberry LN
Winnetka, IL 60093-1605
Mailing address
1299 Hackberry LN
Winnetka, IL 60093-1605
Phone (847) 256-4950
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180002145 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334620800000",
"number": "1265799191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1299 HACKBERRY LN",
"city": "WINNETKA",
"state": "IL",
"postal_code": "600931605",
"telephone_number": "847-256-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 HACKBERRY LN",
"city": "WINNETKA",
"state": "IL",
"postal_code": "600931605",
"telephone_number": "847-256-4950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "DEBRA",
"credential": "MA,MS,LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-17",
"last_updated": "2012-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180002145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winnetka, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.