Individual provider Active NPI

Gloria Bernard, LCPC

  • Counselor
  • Chicago, IL
National Provider Identifier
1609335918
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180.012490 Issued in IL
Practice address
221 E Cullerton St Apt 501
Chicago, IL 60616-1460
Phone
(773) 895-1147
NPI assigned
Mar 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180.012490 IL Primary

Addresses

Primary practice location

221 E Cullerton St Apt 501
Chicago, IL 60616-1460

Mailing address

221 E Cullerton St Apt 501
Chicago, IL 60616-1460
Phone (773) 895-1147

Other practice location 1

1440 Renaissance Dr Ste 320
Park Ridge, IL 60068-1471
Phone (847) 759-9110

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gloriabernard@thejunipercenter.com Direct

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
I20240607002840 IL Practitioner - Mental Health Counselor 1355883158 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.012490ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Globe Counseling LLC CurrentSince Apr 6, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1552694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1609335918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E CULLERTON ST APT 501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161460",
            "telephone_number": "773-895-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E CULLERTON ST APT 501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161460",
            "telephone_number": "773-895-1147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 Renaissance Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600681471",
            "country_code": "US",
            "telephone_number": "847-759-9110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "GLORIA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-16",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.012490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gloriabernard@thejunipercenter.com",
            "affiliation": "N",
            "endpointDescription": "email adress",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1440 Renaissance Dr Ste 320",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.