Individual provider Active NPI

Ale Bugaro, MA, LCPC, NCC

  • Professional Counselor
  • Libertyville, IL
National Provider Identifier
1609009604
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180007765 Issued in IL
Practice address
1580 S Milwaukee Ave Ste 512
Libertyville, IL 60048-3776
Phone
(847) 778-2648
NPI assigned
Aug 25, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 12

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of Lake 42 clinicians

Practice addresses (Care Compare)

18698 W Peterson Rd
Libertyville, IL 60048-1052
Phone (847) 377-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229000054 IL Practitioner - Mental Health Counselor 3476998519 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180007765ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lake Current Accepting new patients
County of Lake CurrentSince Jan 1, 2024 Accepting new patients
County of Lake CurrentSince Jan 1, 2024 Accepting new patients

Locations

18698 W Peterson Rd
Libertyville, IL 60048
Phone (847) 377-4871

3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X 180007765 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

1580 S Milwaukee Ave Ste 512
Libertyville, IL 60048-3776

Mailing address

4162 Cove LN Apt B
Glenview, IL 60025-3569
Phone (847) 778-2648

Other practice location 1

1818 Dempster St
Evanston, IL 60202-1003
Phone (847) 778-2648

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 18, 2019.

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1609009604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4162 COVE LN APT B",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253569",
            "telephone_number": "847-778-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 S MILWAUKEE AVE STE 512",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483776",
            "telephone_number": "847-778-2648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 Dempster St",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602021003",
            "country_code": "US",
            "telephone_number": "847-778-2648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUGARO",
        "first_name": "ALE",
        "name_prefix": "Ms.",
        "credential": "MA, LCPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.