Individual provider Active NPI

Kristina Galuszka, LCPC, CADC

  • Mental Health Counselor
  • Lake in the Hills, IL
National Provider Identifier
1609365733
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.012751 Issued in IL
Practice address
1301 Pyott Rd Ste 201G
Lake in the Hills, IL 60156-9797
Phone
(224) 208-5874
NPI assigned
May 3, 2018
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.012751 IL Primary

Addresses

Primary practice location

1301 Pyott Rd Ste 201G
Lake in the Hills, IL 60156-9797

Mailing address

1030 Plum Tree Dr
Crystal Lake, IL 60014-8309
Phone (847) 997-3359

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
I20241216003829 IL Practitioner - Mental Health Counselor 9931550555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1301 Pyott Rd
Suite 201G
Lake in the Hills, IL 60156-9797
Phone (224) 208-5874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.012751ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kristina Galuszka PLLC Mental Health CurrentSince Oct 18, 2023 Accepting new patients

Locations

1301 Pyott Rd
Ste 201G
Lake in the Hills, IL 60156
Phone (224) 208-5874

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": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1609365733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 PLUM TREE DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148309",
            "telephone_number": "847-997-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PYOTT RD STE 201G",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601569797",
            "telephone_number": "224-208-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALUSZKA",
        "first_name": "KRISTINA",
        "credential": "LCPC, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.012751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

Verify at the official NPI Registry.