Individual provider Active NPI

Gail Gogliotti, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1558782144
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180008792 Issued in IL
Practice address
6601 N Avondale Ave
Suite 203
Chicago, IL 60631-1572
Phone
(773) 340-1715
Fax
(773) 496-7305
NPI assigned
Dec 26, 2013
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180008792 IL Primary

Addresses

Primary practice location

6601 N Avondale Ave
Suite 203
Chicago, IL 60631-1572

Mailing address

3634 N Tripp Ave
Chicago, IL 60641-3037
Phone (708) 525-6152

Other practice location 1

3166 N Lincoln Ave Ste 307
Chicago, IL 60657-3119
Phone (708) 525-6152

Other names 1

  • Gail Adduci Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180008792ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kinesphere Counseling LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

3166 N Lincoln Ave
Ste 307
Chicago, IL 60657
Phone (312) 945-6775

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, 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": "1388016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1558782144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 N TRIPP AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413037",
            "telephone_number": "708-525-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 N AVONDALE AVE",
            "address_2": "SUITE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311572",
            "telephone_number": "773-340-1715",
            "fax_number": "773-496-7305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3166 N Lincoln Ave Ste 307",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606573119",
            "country_code": "US",
            "telephone_number": "708-525-6152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOGLIOTTI",
        "first_name": "GAIL",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-26",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAIL",
            "last_name": "ADDUCI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.