Glenisha Lavene Cole Foreman, PHD, LCPC, NCC, CCTP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.014284 Issued in IL

Practice address

1761 N Dilleys Rd Ste 201
Gurnee, IL 60031-1721

Phone

(224) 637-6999

NPI assigned

Aug 5, 2020

Last updated

Mar 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Verdure Health LLC

  dba Verdure Counseling

  • Mental Health Counselor
  • Gurnee, IL
  • NPI 1619622685
  Medicare reassignment NPD Authorized official
• The McKnight Group LLC

  dba Living Pono Counseling

  • Professional Counselor
  • Libertyville, IL
  • NPI 1447778972
  NPD

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1467062356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 RED CEDAR RD",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600468627",
            "telephone_number": "224-703-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 N DILLEYS RD STE 201",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311721",
            "telephone_number": "224-637-6999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1860 W Winchester Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600485317",
            "country_code": "US",
            "telephone_number": "224-424-4194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "GLENISHA",
        "middle_name": "LAVENE COLE",
        "name_prefix": "Dr.",
        "credential": "PHD, LCPC, NCC, CCTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701014633",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.015753",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "11033125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.014284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Flaherty, PSYD
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• Foundation Health Partners
• Daniel L. Foust, MA, LCPC, CADC
• Judith Fradin, LCSW
• Frank C Sun MD PC
• Gerald Allen Frank, MD

• Mental Health Counselor in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.