Individual provider Active NPI

Mark Joseph Starczynski

  • Mental Health Counselor
  • Gurnee, IL
National Provider Identifier
1437649324
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.015173 Issued in IL
Practice address
222 S Greenleaf St Ste 106
Gurnee, IL 60031-5705
Phone
(847) 473-6233
NPI assigned
May 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 178.015173 IL Primary

Addresses

Primary practice location

222 S Greenleaf St Ste 106
Gurnee, IL 60031-5705

Mailing address

4669 Kings Way N
Gurnee, IL 60031-3211
Phone (224) 545-0753

Other practice location 1

100 N Waukegan Rd Ste 204
Lake Bluff, IL 60044
Phone (847) 821-9346

Other practice location 2

34121 N US Highway 45 Ste 221
Grayslake, IL 60030-1774
Phone (847) 821-9346

Other practice location 3

550 W Frontage Rd Ste 3825
Northfield, IL 60093-1262
Phone (847) 821-9346

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240213001528 IL Practitioner - Mental Health Counselor 8729421169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
White Stone Partners LLCGroup PAC ID 2163873803, 7 clinicians

Practice addresses (Care Compare)

100 N Waukegan Rd
Suite 204
Lake Bluff, IL 60044-1660
Phone (847) 461-9162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.015173ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
White Stone Partners LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

34121 N US Highway 45
Ste 221
Grayslake, IL 60030
Phone (847) 461-9162

100 N Waukegan Rd
Ste 204
Lake Bluff, IL 60044
Phone (224) 252-4951

550 W Frontage Rd
Ste 3825
Northfield, IL 60093
Phone (847) 461-9162

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1437649324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4669 KINGS WAY N",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313211",
            "telephone_number": "224-545-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S GREENLEAF ST STE 106",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315705",
            "telephone_number": "847-473-6233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Waukegan Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Lake Bluff",
            "state": "IL",
            "postal_code": "60044",
            "country_code": "US",
            "telephone_number": "847-821-9346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34121 N US Highway 45 Ste 221",
            "address_purpose": "LOCATION",
            "city": "Grayslake",
            "state": "IL",
            "postal_code": "600301774",
            "country_code": "US",
            "telephone_number": "847-821-9346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 W Frontage Rd Ste 3825",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "IL",
            "postal_code": "600931262",
            "country_code": "US",
            "telephone_number": "847-821-9346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARCZYNSKI",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-16",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.015173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.