VCC Counseling, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-004333 Issued in IL

Legal business name

VCC COUNSELING, INC.

Practice address

460 Briargate Dr Ste 700
South Elgin, IL 60177-2284

Phone

(847) 488-1999

Fax

(847) 488-9797

NPI assigned

Aug 9, 2006

Last updated

Mar 29, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David M. Gursky I, PH.D.NPI 1942225669

Title

Owner

Phone

(847) 488-1999

Specialties & licenses 9

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 23

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.

• David M Gursky, PH D

  • Clinical Psychologist
  • Hanover Park, IL
  • NPI 1942225669
  Medicare reassignment Care Compare group NPD Authorized official
• Danielle Avallone, M.A., L.P.C.

  • Professional Counselor
  • Hanover Park, IL
  • NPI 1689933079
  Medicare reassignment Care Compare group NPD
• Jacqueline Ellen Birks, M.S.

  • Professional Counselor
  • Naperville, IL
  • NPI 1669725701
  Medicare reassignment Care Compare group NPD
• Stoyka T Meyer, LCP

  • Professional Counselor
  • Elgin, IL
  • NPI 1811922883
  Medicare reassignment Care Compare group NPD
• Heather Mucha, MS, LCPC

  • Professional Counselor
  • Dekalb, IL
  • NPI 1629141916
  Medicare reassignment Care Compare group NPD
• Karen M. Watson-Jarvis, LCPC

  • Professional Counselor
  • Wheaton, IL
  • NPI 1558449686
  Medicare reassignment Care Compare group NPD
• Maria Wywialowski, LCSW

  • Clinical Social Worker
  • Bartlett, IL
  • NPI 1245621713
  Medicare reassignment Care Compare group NPD
• Shawn Clifford Garry

  • Mental Health Counselor
  • St Charles, IL
  • NPI 1811379084

  Professional

  Medicare reassignment NPD
• Sheri Leasure

  • Mental Health Counselor
  • Dekalb, IL
  • NPI 1447604491
  Medicare reassignment NPD
• Cynthia Marie Russell, LCSW

  • Clinical Social Worker
  • South Elgin, IL
  • NPI 1053489450
  Medicare reassignment NPD
• Jill Ballard Page, MSW, LCSW

  • Clinical Social Worker
  • South Elgin, IL
  • NPI 1366844227
  NPD
• Julie A Peters, MSW, LSW

  • Social Worker
  • South Elgin, IL
  • NPI 1366314866
  NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1477563641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 BRIARGATE DR STE 700",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601772284",
            "telephone_number": "847-488-1999",
            "fax_number": "847-488-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 BRIARGATE DR STE 700",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601772284",
            "telephone_number": "847-488-1999",
            "fax_number": "847-488-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCC COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "GURSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-488-1999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-004160",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-004551",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-000394",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-006174",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-006200",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-004333",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-007397",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-009744",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166-000559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tower Hill Rehabilitation, LLC (Tower Hill Healthcare Center)
• Tower Hill Rehabilitation, LLC (tower hill healthcare center)
• Truth and Grace Counseling, LLC
• Michael Lawrence Tucci
• Melanie Joy Umbach, PHARMD, RPH
• Monique Velasco, OD
• Janese Vendl
• Verbena Counseling LLC
• Charlotte Vicente-Brandon, PT
• Visionworks, Inc. (Visionworks)

• Clinical Psychologist in South Elgin, IL
• Providers in South Elgin, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.