Individual provider Active NPI

Stephanie Helena Gielniewski, LPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1447795455
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.012682 Issued in IL
Practice address
6650 N Northwest Hwy
Suite 215
Chicago, IL 60631-1307
Phone
(773) 313-3757
NPI assigned
Dec 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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 178.012682 IL Primary

Addresses

Primary practice location

6650 N Northwest Hwy
Suite 215
Chicago, IL 60631-1307

Mailing address

6935 N Milwaukee Ave
Apt. # 108
Niles, IL 60714-4546
Phone (773) 988-6364

Other names 1

  • Stephanie Helena Gielniewski-Zawadzki Professional name

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
I20240226001183 IL Practitioner - Mental Health Counselor 4284068099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Association for Multicultural Behavioral Health, LLCGroup PAC ID 4284865395, 2 clinicians

Practice addresses (Care Compare)

6650 N Northwest Hwy
Suite 215
Chicago, IL 60631-1363
Phone (773) 313-3757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.012682ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Association for Multicultural Behavioral Health, LLC CurrentSince Jan 13, 2024 Accepting new patients

Locations

6650 N Northwest Hwy
Ste 215
Chicago, IL 60631
Phone (630) 216-9098

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": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1447795455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6935 N MILWAUKEE AVE",
            "address_2": "APT. # 108",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144546",
            "telephone_number": "773-988-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 N NORTHWEST HWY",
            "address_2": "SUITE 215",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311307",
            "telephone_number": "773-313-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIELNIEWSKI",
        "first_name": "STEPHANIE",
        "middle_name": "HELENA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.012682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "GIELNIEWSKI-ZAWADZKI",
            "middle_name": "HELENA",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.