Individual provider Active NPI

Galina Aleksandrovna Lipkin, LPC, MA, NCC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1346726080
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.014776 Issued in IL
Practice address
3047 N Lincoln Ave Unit 400
Chicago, IL 60657-4274
Phone
(773) 217-0037
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 178.014776 IL Primary

Addresses

Primary practice location

3047 N Lincoln Ave Unit 400
Chicago, IL 60657-4274

Mailing address

3047 N Lincoln Ave Unit 400
Chicago, IL 60657-4274
Phone (773) 217-0037

Other practice location 1

977 Lakeview Pkwy Ste 100
Vernon Hills, IL 60061-1444
Phone (224) 424-0432

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
178.014776ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1346726080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3047 N LINCOLN AVE UNIT 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574274",
            "telephone_number": "773-217-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3047 N LINCOLN AVE UNIT 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574274",
            "telephone_number": "773-217-0037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "977 Lakeview Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Vernon Hills",
            "state": "IL",
            "postal_code": "600611444",
            "country_code": "US",
            "telephone_number": "224-424-0432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPKIN",
        "first_name": "GALINA",
        "middle_name": "ALEKSANDROVNA",
        "credential": "LPC, MA, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.014776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.