Individual provider Active NPI

Gia Grimmitt, LCPC

  • Counselor
  • Hoffman Estates, IL
National Provider Identifier
1659396752
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180-004327 Issued in IL
Practice address
1786 Moon Lake Blvd
Suite 104
Hoffman Estates, IL 60194-5029
Phone
(847) 755-8090
Fax
(847) 843-7393
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alexian Brothers Behavioral Health Hospital 55 clinicians

Practice addresses (Care Compare)

1650 Moon Lake Blvd
Hoffman Estates, IL 60169-1010
Phone (847) 755-8090

1786 Moon Lake Blvd
Suite 104
Hoffman Estates, IL 60169-1016
Phone (847) 755-8090

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
I20231228001139 IL Practitioner - Mental Health Counselor 6901256239 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180-004327ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alexian Brothers Behavioral Health Hospital CurrentSince Jan 1, 2024 Accepting new patients

Locations

1650 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (800) 432-5005

1786 Moon Lake Blvd
Ste 104
Hoffman Estates, IL 60169

Interoperability endpoints

  • Direct secure messaging: gia.grimmitt.1@15182.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180-004327 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

1786 Moon Lake Blvd
Suite 104
Hoffman Estates, IL 60194-5029

Mailing address

1786 Moon Lake Blvd
Suite 104
Hoffman Estates, IL 60194-5029
Phone (847) 755-8090

Other names 1

NPPES NPI Registry
  • Gia Lemkow Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 1, 2021.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1659396752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1786 MOON LAKE BLVD",
            "address_2": "SUITE 104",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601945029",
            "telephone_number": "847-755-8090",
            "fax_number": "847-843-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 MOON LAKE BLVD",
            "address_2": "SUITE 104",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601945029",
            "telephone_number": "847-755-8090",
            "fax_number": "847-843-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMMITT",
        "first_name": "GIA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180-004327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIA",
            "last_name": "LEMKOW",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.