Active NPI
Gina Schostok
- Counselor
- Crystal Lake, IL
National Provider Identifier
1558053108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 333 Commerce Dr Ste 300
Crystal Lake, IL 60014-3596 - Phone
- (815) 762-6347
- NPI assigned
- May 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
333 Commerce Dr Ste 300
Crystal Lake, IL 60014-3596
Mailing address
333 Commerce Dr Ste 300
Crystal Lake, IL 60014-3596
Phone (224) 688-3608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcadia Counseling LLC | Current | Accepting new patients |
Locations
333 Commerce Dr
Ste 300
Crystal Lake, IL 60014
Phone (224) 484-0649
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Crystal Lake, IL
- NPI 1861198210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1558053108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 COMMERCE DR STE 300",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600143596",
"telephone_number": "224-688-3608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 COMMERCE DR STE 300",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600143596",
"telephone_number": "815-762-6347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOSTOK",
"first_name": "GINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-23",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.