Individual provider Active NPI

Olesea Gore, LPC

  • Mental Health Counselor
  • Crystal Lake, IL
National Provider Identifier
1518765585
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.021360 Issued in IL
Practice address
44 N Virginia St Ste 3B
Crystal Lake, IL 60014-4154
Phone
(815) 363-0864
NPI assigned
Mar 5, 2025
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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 178.021360 IL Primary
Professional Counselor 101YP2500X 178.021360 IL

Addresses

Primary practice location

44 N Virginia St Ste 3B
Crystal Lake, IL 60014-4154

Mailing address

44 N Virginia St Ste 3B
Crystal Lake, IL 60014-4154
Phone (815) 363-0864

Other practice location 1

265 Stonegate Rd Ste 102
Algonquin, IL 60102-5614
Phone (224) 678-9180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.021360ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ech Counseling PLLC Professional CurrentSince Mar 11, 2025 Accepting new patients
Epp Advisory Group, Inc. Mental Health PastSince Sep 15, 2019 Accepting new patients

Locations

44 N Virginia St
Ste 3B
Crystal Lake, IL 60014
Phone (815) 363-0864

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1518765585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 N VIRGINIA ST STE 3B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144154",
            "telephone_number": "815-363-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 N VIRGINIA ST STE 3B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144154",
            "telephone_number": "815-363-0864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 Stonegate Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Algonquin",
            "state": "IL",
            "postal_code": "601025614",
            "country_code": "US",
            "telephone_number": "224-678-9180",
            "fax_number": "224-678-9369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORE",
        "first_name": "OLESEA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.021360",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.021360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.