NPIMap

Organization Active NPI

PJG and Associates

  • Professional Counselor
  • Rolling Meadows, IL
National Provider Identifier
1740173699
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PJG AND ASSOCIATES
Practice address
1600 Golf Rd Ste 1200
Rolling Meadows, IL 60008-4229
Phone
(515) 519-2090
NPI assigned
May 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Patty Gibbs, MHTNPI 1750782850
Title
Owner
Phone
(515) 519-2090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1600 Golf Rd Ste 1200
Rolling Meadows, IL 60008-4229

Mailing address

4117 N Linwood Ave
Davenport, IA 52806-4935
Phone (515) 519-2090

Other names 1

  • PJG AND ASSOCIATES ILLINOIS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260527001197 IL Part B Supplier - Clinic/Group Practice 7618476409 Receives reassigned benefits from 1 practitioner
Practice locations: Rock Island, IL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
PJG and Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1740173699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 N LINWOOD AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528064935",
            "telephone_number": "515-519-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 GOLF RD STE 1200",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084229",
            "telephone_number": "515-519-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PJG AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-519-2090",
        "authorized_official_credential": "MHT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PJG AND ASSOCIATES ILLINOIS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PJG AND ASSOCIATES ILLINOIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rolling Meadows, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.