Co-Operative Partners in Therapy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CO-OPERATIVE PARTNERS IN THERAPY

Practice address

4343 Old Grand Ave Ste 107C
Gurnee, IL 60031-2701

Phone

(847) 662-2174

NPI assigned

Jan 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Ann Gust, M.A. , LCPCNPI 1962480111

Title

Co-Owner Clinician

Phone

(847) 662-2174

Specialties & licenses 1

Addresses

Locations

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.

• Deborah A. Gust, M.A.

  • Professional Counselor
  • Gurnee, IL
  • NPI 1962480111
  NPD (past) Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750430278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 OLD GRAND AVE STE 107C",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312701",
            "telephone_number": "847-662-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 OLD GRAND AVE STE 107C",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312701",
            "telephone_number": "847-662-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CO-OPERATIVE PARTNERS IN THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUST",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CO-OWNER CLINICIAN",
        "authorized_official_telephone_number": "847-662-2174",
        "authorized_official_credential": "M.A. , LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.