Active NPI
Verdure Health LLC
- Mental Health Counselor
- Gurnee, IL
National Provider Identifier
1619622685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- VERDURE HEALTH LLC
- Practice address
- 1761 N Dilleys Rd Ste 210
Gurnee, IL 60031-1721 - Phone
- (224) 419-5053
- NPI assigned
- Feb 17, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glenisha L.C. Foreman, LCPC
- Title
- Owner
- Phone
- (224) 637-6999
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1761 N Dilleys Rd Ste 210
Gurnee, IL 60031-1721
Mailing address
1761 N Dilleys Rd Ste 210
Gurnee, IL 60031-1721
Phone (224) 419-5053
Other names 1
- Verdure Counseling
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1761 N Dilleys Rd
Ste 210
Gurnee, IL 60031
Phone (224) 419-5053
2504 Washington St
Ste 300K
Waukegan, IL 60085
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Gurnee, IL
- NPI 1467062356
-
- Mental Health Counselor
- Gurnee, IL
- NPI 1851255350
-
- Social Worker
- Gurnee, IL
- NPI 1720942295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715040000000",
"number": "1619622685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1761 N DILLEYS RD STE 210",
"city": "GURNEE",
"state": "IL",
"postal_code": "600311721",
"telephone_number": "224-419-5053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1761 N DILLEYS RD STE 210",
"city": "GURNEE",
"state": "IL",
"postal_code": "600311721",
"telephone_number": "224-419-5053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERDURE HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-17",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A",
"authorized_official_last_name": "FOREMAN",
"authorized_official_first_name": "GLENISHA",
"authorized_official_middle_name": "L.C.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "224-637-6999",
"authorized_official_name_prefix": "Dr.",
"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": "Verdure Counseling",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Verdure Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.