Individual provider Active NPI

Gayle Saturday, LCSW

  • Mental Health Counselor
  • McHenry, IL
National Provider Identifier
1699783803
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
149006722 Issued in IL
Practice address
5404 W Elm St Ste H
McHenry, IL 60050-4007
Phone
(815) 331-8768
Fax
(815) 331-8760
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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 149006722 IL Primary

Addresses

Primary practice location

5404 W Elm St Ste H
McHenry, IL 60050-4007

Mailing address

610 Arbor Cir
Lakemoor, IL 60051-2212
Phone (815) 529-7002

Other names 1

  • Gayle Schultz Former name

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
I20200921002518 IL Practitioner - Clinical Social Worker 2567880768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

150 Weiland Rd
Buffalo Grove, IL 60089-7047
Phone (847) 465-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149006722ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

150 Weiland Rd
Buffalo Grove, IL 60089
Phone (224) 456-6662

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

3450 Oakton St
Ste 300
Skokie, IL 60076

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1699783803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 ARBOR CIR",
            "city": "LAKEMOOR",
            "state": "IL",
            "postal_code": "600512212",
            "telephone_number": "815-529-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 W ELM ST STE H",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504007",
            "telephone_number": "815-331-8768",
            "fax_number": "815-331-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATURDAY",
        "first_name": "GAYLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149006722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAYLE",
            "last_name": "SCHULTZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.