Gracie A Bates-Davis, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180009958 Issued in IL

Practice address

333 S Wabash Ave Ste 2700
Chicago, IL 60604-4129

Phone

(312) 809-6984

NPI assigned

Oct 26, 2017

Last updated

Oct 26, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Envision Counseling PLLC

  dba Gracie Bates-Davis

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1679089569
  NPD Authorized official

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1659883973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S WABASH AVE STE 2700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S WABASH AVE STE 2700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044129",
            "telephone_number": "312-809-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES-DAVIS",
        "first_name": "GRACIE",
        "middle_name": "A",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180009958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Bate, LPC
• Nicole Susan Bateman, LCSW
• Ronald Bateman
• Thomas H Bateman, LMFT
• Bates Alterations and Tailoring Corp
• Alison C Bates, PA-C
• Chanelle Christine Bates, APN
• Christina Bates, RBT
• Courtney Paige Bates, RD
• Jodi Craft Bates

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.