Greg Dziedzic, CRC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.016856 Issued in IL

Practice address

4825 Scott St Ste 208
Schiller Park, IL 60176-1210

Phone

(773) 470-9999

NPI assigned

Feb 3, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Gray Owl Psychotherapy LLC

  • Mental Health Counselor
  • Schiller Park, IL
  • NPI 1255203592
  NPD Authorized official
• Association for Multicultural Behavioral Health, LLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1699190082

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1720784440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 SCOTT ST STE 208",
            "city": "SCHILLER PARK",
            "state": "IL",
            "postal_code": "601761210",
            "telephone_number": "773-470-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 SCOTT ST STE 208",
            "city": "SCHILLER PARK",
            "state": "IL",
            "postal_code": "601761210",
            "telephone_number": "773-470-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIEDZIC",
        "first_name": "GREG",
        "credential": "CRC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-03",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.016856",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dimitrios Dandinidis, MOT/L
• Dempster Therapeutic Services LLC
• Maria Grace Diamanre, RN
• Jennifer Tatiana Diaz, RPH
• Mary Alice Doyle, DPM
• Julianna Destiny Estremera, PHARMD
• Gray Owl Psychotherapy LLC
• Myryl Gula, PHARMD
• Heart to Heart Hospice Corp
• Jaclyn Hood

• Mental Health Counselor in Schiller Park, IL
• Providers in Schiller Park, 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 Aug 28, 2026; 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.