Active NPI
VCC Counseling, Inc.
- Clinical Psychologist
- South Elgin, IL
National Provider Identifier
1477563641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-004333
- 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
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. David M. Gursky I, PH.D.
- Title
- Owner
- Phone
- (847) 488-1999
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 23
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Hanover Park, IL
- NPI 1689933079
IL, Professional
-
- Social Worker
- South Elgin, IL
- NPI 1366314866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070420000190 | IL | Part B Supplier - Clinic/Group Practice | 1759486673 |
Receives reassigned benefits from 10 practitioners Practice locations: Hanover Park, IL; South Elgin, IL |
National Provider Directory
National Provider DirectoryLocations
1240 Bamburg Ct
Ste 3A
Hanover Park, IL 60133
Phone (847) 372-6599
6595 Guilford Rd
Rockford, IL 61107
Phone (630) 372-6599
460 Briargate Dr
Ste 700
South Elgin, IL 60177
Phone (847) 488-1999
Specialties & licenses 9
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180-004160 | IL | |
| Professional Counselor | 101YP2500X | 180-004551 | IL | |
| Professional Counselor | 101YP2500X | 180-000394 | IL | |
| Professional Counselor | 101YP2500X | 180-006174 | IL | |
| Professional Counselor | 101YP2500X | 180-006200 | IL | |
| Clinical Psychologist | 103TC0700X | 071-004333 | IL | Primary |
| Clinical Social Worker | 1041C0700X | 149-007397 | IL | |
| Clinical Social Worker | 1041C0700X | 149-009744 | IL | |
| Marriage & Family Therapist | 106H00000X | 166-000559 | IL |
Addresses
NPPES NPI RegistryPrimary practice location
460 Briargate Dr Ste 700
South Elgin, IL 60177-2284
Mailing address
460 Briargate Dr Ste 700
South Elgin, IL 60177-2284
Phone (847) 488-1999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2019.
{
"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": []
}Other providers in South Elgin, IL
Sources for this page
- 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.