GK Enterprise LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GK ENTERPRISE LLC

Doing business as

Lifeline Counseling and Consulting

Practice address

333 Margaret St
Pekin, IL 61554-3268

Phone

(309) 407-7771

Fax

(309) 620-8623

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Gelana Louise McCloud, LCPCNPI 1033644851

Title

Psychotherpist

Phone

(309) 407-7771

Specialties & licenses 1

Addresses

Other names 1

• Lifeline Counseling and Consulting Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gelana L McCloud, LCPC

  • Mental Health Counselor
  • Pekin, IL
  • NPI 1033644851
  Medicare reassignment NPD Authorized official
• Jacqueline M Harvey, LCSW

  • Clinical Social Worker
  • Pekin, IL
  • NPI 1275264541
  Medicare reassignment NPD
• Molly Rose Giamette, MA, LPC

  • Mental Health Counselor
  • Pekin, IL
  • NPI 1750114484
  NPD

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1568228682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MARGARET ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615543268",
            "telephone_number": "309-407-7771",
            "fax_number": "309-620-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MARGARET ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615543268",
            "telephone_number": "309-407-7771",
            "fax_number": "309-620-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GK ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "MCCLOUD",
        "authorized_official_first_name": "GELANA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PSYCHOTHERPIST",
        "authorized_official_telephone_number": "309-407-7771",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeline Counseling and Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corette Marie Gardner, LSW
• Gateway Professional Services, PC
• Judy C Getz, RD, BS, LD
• Jessica Gheewala, PA-C
• Molly Rose Giamette, MA, LPC
• Melissa Marie Glass, APRN-FPA
• Brian Glesne, D.M.D
• Kurt Larson Glesne, D.P.M.
• Mark Evan Glesne, DDS
• GNL Merchandising

• Mental Health Counselor in Pekin, IL
• Providers in Pekin, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.