Active NPI
Gail Gogliotti, LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1558782144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180008792
- 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, 2022
- 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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180008792 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinesphere Counseling LLC | Current | 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.
-
- Mental Health Counselor
- Chicago, IL
- NPI 1114679511
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.