Individual provider Active NPI

Leanna S Gudel, M.A., L.P.C.

  • Mental Health Counselor
  • Evanston, IL
National Provider Identifier
1316128556
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1033 University PL
Suite 300
Evanston, IL 60201-3196
Phone
(847) 492-1938
Fax
(847) 492-5081
NPI assigned
Nov 15, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

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

Addresses

Primary practice location

1033 University PL
Suite 300
Evanston, IL 60201-3196

Mailing address

1033 University PL
Suite 300
Evanston, IL 60201-3196
Phone (847) 492-1938

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

State licenses

LicenseStateTypeSpecialty
178-003508ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Springtree Counseling, P.C. Mental Health Past Accepting new patients

Organizations & group practices 1

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": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1316128556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 UNIVERSITY PL",
            "address_2": "SUITE 300",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013196",
            "telephone_number": "847-492-1938",
            "fax_number": "847-492-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 UNIVERSITY PL",
            "address_2": "SUITE 300",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013196",
            "telephone_number": "847-492-1938",
            "fax_number": "847-492-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDEL",
        "first_name": "LEANNA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.