Individual provider Active NPI

Grace Gianforte Alice Gianforte, CRC, LCPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1689747180
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
111 N Wabash Ave Ste 1903
Chicago, IL 60602-2958
Phone
(312) 346-0529
Fax
(312) 346-0754
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

111 N Wabash Ave Ste 1903
Chicago, IL 60602-2958

Mailing address

111 N Wabash Ave Ste 1903
Chicago, IL 60602-2958
Phone (312) 346-0529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180-002168ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689747180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 1903",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022958",
            "telephone_number": "312-346-0529",
            "fax_number": "312-346-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 1903",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022958",
            "telephone_number": "312-346-0529",
            "fax_number": "312-346-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANFORTE",
        "first_name": "GRACE GIANFORTE",
        "middle_name": "ALICE",
        "name_prefix": "Ms.",
        "credential": "CRC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "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 Jul 8, 2007; 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.