Active NPI
Blain and Associates, PC
- Professional Counselor
- Gurnee, IL
National Provider Identifier
1518104306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180-002267
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.