Veronica Gulezian, LCPC, CADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180012125 Issued in IL

Practice address

8707 Fullerton Ave
River Grove, IL 60171-1831

Phone

(708) 402-8221

NPI assigned

Apr 25, 2016

Last updated

Sep 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• North Shore Wellness Services, LTD.

  dba North Shore Counseling, Ltd.

  • Mental Health Counselor
  • Northbrook, IL
  • NPI 1073639126
  NPD (past)

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1497100770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8707 FULLERTON AVE",
            "city": "RIVER GROVE",
            "state": "IL",
            "postal_code": "601711831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8707 FULLERTON AVE",
            "city": "RIVER GROVE",
            "state": "IL",
            "postal_code": "601711831",
            "telephone_number": "708-402-8221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Huehl Rd",
            "address_2": "#19b",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600622319",
            "country_code": "US",
            "telephone_number": "847-205-0371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULEZIAN",
        "first_name": "VERONICA",
        "credential": "LCPC, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180012125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Izabela S Fratczak, LMT
• Free Your Speech
• David French, PT
• Matthew L Garstki, DPT
• Daniel Goggin, ATC
• Elzbieta Gurgul
• Davina Harris, LMT
• Head First Health, LLC
• Kevin Hendrix, DPT, ATC
• Andrea Evelyn Hinojosa, MS RDN CLC

• Professional Counselor in River Grove, IL
• Providers in River Grove, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.