Individual provider Active NPI

Whitney Gipson, MSW, LMFT

  • Marriage & Family Therapist
  • Mount Prospect, IL
National Provider Identifier
1710111273
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166.000740 Issued in IL
Practice address
500 W Central Rd Ste 206
Mount Prospect, IL 60056-2381
Phone
(800) 922-0976
NPI assigned
May 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150008210 IL
Marriage & Family Therapist 106H00000X 166.000740 IL Primary

Addresses

Primary practice location

500 W Central Rd Ste 206
Mount Prospect, IL 60056-2381

Mailing address

105 S Hi Lusi Ave
Mount Prospect, IL 60056-3024
Phone (847) 322-0756

Other practice location 1

8745 W Higgins Rd Ste 110
Chicago, IL 60631-2753
Phone (800) 922-0976 ext. 1

Other practice location 2

5600 N River Rd
Ste. 800
Rosemont, IL 60018-6705
Phone (847) 322-0756

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
150008210ILMDSocial Worker
166.000740ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Suburban Counseling LLC Marriage & Family Therapist Current Accepting new patients

Locations

8745 W Higgins Rd
Ste 110
Chicago, IL 60631
Phone (224) 361-3301

500 W Central Rd
Ste 206
Mount Prospect, IL 60056
Phone (224) 310-9312

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": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710111273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S HI LUSI AVE",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563024",
            "telephone_number": "847-322-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W CENTRAL RD STE 206",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600562381",
            "telephone_number": "800-922-0976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8745 W Higgins Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606312753",
            "country_code": "US",
            "telephone_number": "800-922-0976 x1",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5600 N River Rd",
            "address_2": "Ste. 800",
            "address_purpose": "LOCATION",
            "city": "Rosemont",
            "state": "IL",
            "postal_code": "600186705",
            "country_code": "US",
            "telephone_number": "847-322-0756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "WHITNEY",
        "credential": "MSW, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150008210",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.000740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.