Organization Active NPI

Rebecca Gillett Counseling LLC

  • Clinical Social Worker
  • Northbrook, IL
National Provider Identifier
1700366903
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.016464 Issued in IL
Legal business name
REBECCA GILLETT COUNSELING LLC
Practice address
666 Dundee Rd Ste 1302
Northbrook, IL 60062-2736
Phone
(847) 528-9393
NPI assigned
Aug 16, 2018
Last updated
Aug 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Authorized official

Name
Rebecca Gillett, LCSW, MSNPI 1356765986
Title
Therapist
Phone
(847) 528-9393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149.016464 IL Primary

Addresses

Primary practice location

666 Dundee Rd Ste 1302
Northbrook, IL 60062-2736

Mailing address

939 Valley Rd
Glencoe, IL 60022-1451
Phone (847) 528-9393

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1700366903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 VALLEY RD",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600221451",
            "telephone_number": "847-528-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD STE 1302",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622736",
            "telephone_number": "847-528-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA GILLETT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "GILLETT",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "847-528-9393",
        "authorized_official_credential": "LCSW,  MS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.