Individual provider Active NPI

Gloria Maria Tovar, MA, LCPC

  • Professional Counselor
  • Westmont, IL
National Provider Identifier
1437824257
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180015367 Issued in IL
Practice address
414 Plaza Dr Ste 301
Westmont, IL 60559-5508
Phone
(630) 728-1744
NPI assigned
Aug 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 178016891 IL
Professional Counselor 101YP2500X 180015367 IL Primary

Addresses

Primary practice location

414 Plaza Dr Ste 301
Westmont, IL 60559-5508

Mailing address

2301 Caton Farm Rd
Crest Hill, IL 60403-1715
Phone (779) 875-8838

Other practice location 1

1804 N Naper Blvd Ste 250
Naperville, IL 60563-8830
Phone (630) 791-5746

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
I20231229000133 IL Practitioner - Mental Health Counselor 5799135018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otte Practice PLLCGroup PAC ID 6608231097, 2 clinicians

Practice addresses (Care Compare)

1804 N Naper Blvd
Suite 250
Naperville, IL 60563-8830
Phone (630) 332-2358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180015367ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Otte Practice PLLC Multi-Specialty CurrentSince Jan 12, 2024 Accepting new patients

Locations

1804 N Naper Blvd
Ste 250
Naperville, IL 60563
Phone (630) 332-2358

Organizations & group practices 2

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": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1437824257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CATON FARM RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604031715",
            "telephone_number": "779-875-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 PLAZA DR STE 301",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595508",
            "telephone_number": "630-728-1744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1804 N Naper Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605638830",
            "country_code": "US",
            "telephone_number": "630-791-5746",
            "fax_number": "630-283-8841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOVAR",
        "first_name": "GLORIA",
        "middle_name": "MARIA",
        "credential": "MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178016891",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180015367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

Verify at the official NPI Registry.