Shira R Greenfield, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180004326 Issued in IL

Practice address

610 Crystal Point Dr
Suite 3
Crystal Lake, IL 60014-1401

Phone

(815) 735-6863

NPI assigned

Jul 19, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1985

Medicare assignment

May accept Medicare assignment

Group practices

Woodstock Therapist LLCGroup PAC ID 6507133105, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Woodstock Therapist LLC

  • Professional Counselor
  • Woodstock, IL
  • NPI 1003358037
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1356340665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 CRYSTAL POINT DR",
            "address_2": "SUITE 3",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141401",
            "telephone_number": "815-735-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 CRYSTAL POINT DR",
            "address_2": "SUITE 3",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141401",
            "telephone_number": "815-735-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENFIELD",
        "first_name": "SHIRA",
        "middle_name": "R",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180004326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05619771",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Elizabeth Gratz
• Mark Norman Gravdal, R.PH., CGP
• Jesse Green
• Stephanie J Green
• Ziv Greenfeld, DOM, LIC AC
• Gregory F. Kubik, LTD
• Gregory V. Sierminski, D.D.S., P.C.
• Brandi Gries, LCPC
• Megan Paige Griesman, APRN
• Shareikka Lacole Griffin, PA-C

• Professional Counselor in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.