Joyce A Gut

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.015362 Issued in IL

Practice address

201 W Hiawatha TRL
Mt Prospect, IL 60056-3763

Phone

(224) 567-3468

NPI assigned

Apr 16, 2020

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

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.

• Authentic Living Therapeutic Services Inc

  • Professional Counselor
  • Mt. Prospect, IL
  • NPI 1093580482

  IL

  Medicare reassignment NPD Authorized official

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1366062655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W HIAWATHA TRL",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563763",
            "telephone_number": "224-567-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W HIAWATHA TRL",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563763",
            "telephone_number": "224-567-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUT",
        "first_name": "JOYCE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.015362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan Grillaert
• Mary Kathryn Groenke, M.S., CCC-SLP
• Denise Grossman, OTR/L
• Denise Lynn Gruensfelder, P.T.
• Rosemary Guerguerian, MD
• Matthew J Guth, ATC
• Samantha Gutzmer, RBT-17-46422
• Christina Hall, M.ED, QMHP
• Taylor Hamer
• Zhamya Hampton

• All providers in Mt Prospect, IL
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.