Individual provider Active NPI

Michelle Gessler, LCPC

  • Mental Health Counselor
  • Willow Springs, IL
National Provider Identifier
1497364038
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180014969 Issued in IL
Practice address
217 Glenwood Ave
Willow Springs, IL 60480-1307
Phone
(574) 238-0438
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61314519 WA
Mental Health Counselor 101YM0800X 180014969 IL Primary

Addresses

Primary practice location

217 Glenwood Ave
Willow Springs, IL 60480-1307

Mailing address

217 Glenwood Ave
Willow Springs, IL 60480-1307
Phone (574) 238-0438

Other practice location 1

8695 Archer Ave Ste 21
Willow Springs, IL 60480-1283
Phone (574) 238-0438

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240307000291 IL Practitioner - Mental Health Counselor 6608212139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Willow Springs, IL 60480
Phone (312) 209-9394

217 Glenwood Ave
Willow Springs, IL 60480-1307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH61314519WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Therapeutic Mental Health CurrentSince Jan 1, 2023 Accepting new patients
Willow Therapeutic, PLLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

130 N La Grange Rd
Ste 108
La Grange, IL 60525
Phone (708) 325-8454

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.michellegessler@146897.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1497364038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 GLENWOOD AVE",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801307",
            "telephone_number": "574-238-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 GLENWOOD AVE",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801307",
            "telephone_number": "574-238-0438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8695 Archer Ave Ste 21",
            "address_purpose": "LOCATION",
            "city": "Willow Springs",
            "state": "IL",
            "postal_code": "604801283",
            "country_code": "US",
            "telephone_number": "574-238-0438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GESSLER",
        "first_name": "MICHELLE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61314519",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180014969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Springs, IL

Sources for this page

Verify at the official NPI Registry.