Michael Grzejka, LCP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178020119 Issued in IL

Practice address

622 W State St
Geneva, IL 60134-2106

Phone

(630) 300-8928

NPI assigned

May 29, 2024

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1427898238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 WHITE OAK ST",
            "city": "HAMPSHIRE",
            "state": "IL",
            "postal_code": "601404003",
            "telephone_number": "847-226-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W STATE ST",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342106",
            "telephone_number": "630-300-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRZEJKA",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCP",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-07-03",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178020119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas M. Gregerson, D.C.
• Kimberly Grimes
• Jessica Groenendyk, CCC-SLP
• Grow With Grace Occupational Therapy, PLLC
• Elizabeth Kathleen Grzan, LSW
• Michael Grzetic, DPT
• Peter Guadagno, MD
• Allison Guimaray, LCSW
• Delaney B Guinan
• Lisandra Guiraldelli, QMHP

• Professional Counselor in Geneva, IL
• Providers in Geneva, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.