Organization Active NPI

Blain and Associates, PC

  • Professional Counselor
  • Gurnee, IL
National Provider Identifier
1518104306
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-002267 Issued in IL
Legal business name
BLAIN AND ASSOCIATES, PC
Practice address
135 N. Greenleaf
Suite 212
Gurnee, IL 60031
Phone
(847) 791-5928
Fax
(847) 223-0887
NPI assigned
Jan 15, 2009
Last updated
Jan 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Mr. Gerald Blain, MS, LCPC
Title
President
Phone
(847) 791-5928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180-002267 IL Primary

Addresses

Primary practice location

135 N. Greenleaf
Suite 212
Gurnee, IL 60031

Mailing address

PO Box 855
Grayslake, IL 60030-0855
Phone (847) 791-5928

National Provider Directory

National Provider Directory

Locations

135 N Greenleaf St
Ste 212
Gurnee, IL 60031
Phone (847) 244-7901

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1518104306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 855",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600300855",
            "telephone_number": "847-791-5928",
            "fax_number": "847-223-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N. GREENLEAF",
            "address_2": "SUITE 212",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "60031",
            "telephone_number": "847-791-5928",
            "fax_number": "847-223-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIN AND ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "BLAIN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-791-5928",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-002267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.