Individual provider Active NPI

Fonda Gail Lewis, M.S., LPC, NCC

  • Professional Counselor
  • Arlington Heights, IL
National Provider Identifier
1437419512
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.007576 Issued in IL
Practice address
4227 N Salem Dr
Arlington Heights, IL 60004-7902
Phone
(847) 975-6294
NPI assigned
May 22, 2012
Last updated
May 22, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.007576 IL Primary

Addresses

Primary practice location

4227 N Salem Dr
Arlington Heights, IL 60004-7902

Mailing address

4227 N Salem Dr
Arlington Heights, IL 60004-7902
Phone (847) 975-6294

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 Science

State licenses

LicenseStateTypeSpecialty
178.007576ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fonda Lewis Insightful Counseling, PLLC CurrentSince Sep 20, 2020 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": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1437419512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 N SALEM DR",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047902",
            "telephone_number": "847-975-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4227 N SALEM DR",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047902",
            "telephone_number": "847-975-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "FONDA",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "M.S., LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.007576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.