Organization Active NPI

Grateful Guidance Counseling and Coaching, PLLC

  • Professional Counselor
  • Bolingbrook, IL
National Provider Identifier
1467168906
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GRATEFUL GUIDANCE COUNSELING AND COACHING, PLLC
Practice address
440 W Boughton Rd Ste 200E
Bolingbrook, IL 60440-4510
Phone
(773) 240-0999
NPI assigned
Jan 27, 2023
Last updated
Jan 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Elizabeth Taylor, LCPC, CADCNPI 1568921377
Title
Therapist- LCPC
Phone
(773) 240-0999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

440 W Boughton Rd Ste 200E
Bolingbrook, IL 60440-4510

Mailing address

440 W Boughton Rd Ste 200E
Bolingbrook, IL 60440-4510
Phone (773) 240-0999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260204003341 IL Part B Supplier - Clinic/Group Practice 9931688595 Receives reassigned benefits from 3 practitioners
Practice locations: Bolingbrook, IL

National Provider Directory

National Provider Directory

Locations

440 W Boughton Rd
Ste 200E
Bolingbrook, IL 60440
Phone (773) 240-0999

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1467168906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W BOUGHTON RD STE 200E",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404510",
            "telephone_number": "773-240-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W BOUGHTON RD STE 200E",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404510",
            "telephone_number": "773-240-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRATEFUL GUIDANCE COUNSELING AND COACHING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "THERAPIST- LCPC",
        "authorized_official_telephone_number": "773-240-0999",
        "authorized_official_credential": "LCPC, CADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.