Active NPI
Dondee Gujilde
- Professional Counselor
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.014883
- Practice address
- 904 W Winona St Apt 2S
Chicago, IL 60640-7780 - Phone
- (708) 774-4420
- NPI assigned
- Feb 10, 2023
- Last updated
- Sep 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 180.014883 | IL | |
| Professional Counselor | 101YP2500X | 180.014883 | IL | Primary |
Addresses
Primary practice location
904 W Winona St Apt 2S
Chicago, IL 60640-7780
Mailing address
904 W Winona St Apt 2S
Chicago, IL 60640-7780
Phone (708) 774-4420
Other practice location 1
180 N Michigan Ave Ste 1830
Chicago, IL 60601-7407
Phone (312) 379-9476
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4025 N Sheridan Rd
Chicago, IL 60613-2010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard Brown Health Center | Current | Accepting new patients | |
| Howard Brown Health Center | Current | Accepting new patients | |
| To Develop Counseling & Therapy LLC | Current | Accepting new patients | |
| Howard Brown Health Center | Current | Accepting new patients | |
| Howard Brown Health Center | Past | Accepting new patients |
Locations
4025 N Sheridan Rd
Chicago, IL 60613
Phone (773) 388-1800
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1306048632
-
dba Dondee Gujilde
- Adult Mental Health Clinic/Center
- Chicago, IL
- NPI 1851170559
-
dba Howard Brown Health at La Casa Norte
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1427523125
-
dba Howard Brown Health Halsted
- Health Educator
- Chicago, IL
- NPI 1881913531
-
- Health Educator
- Chicago, IL
- NPI 1811824121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1609573591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 W WINONA ST APT 2S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606407780",
"telephone_number": "708-774-4420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 W WINONA ST APT 2S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606407780",
"telephone_number": "708-774-4420"
}
],
"practiceLocations": [
{
"address_1": "180 N Michigan Ave Ste 1830",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606017407",
"country_code": "US",
"telephone_number": "312-379-9476",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUJILDE",
"first_name": "DONDEE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-10",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180.014883",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.014883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.