Active NPI
Lisa Spiekys Grulke, LCPC
- Professional Counselor
- Bartlett, IL
National Provider Identifier
1750583761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1002 Concord Dr
Bartlett, IL 60103-5704 - Phone
- (630) 830-7842
- NPI assigned
- Jun 1, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IL | Primary |
Addresses
Primary practice location
1002 Concord Dr
Bartlett, IL 60103-5704
Mailing address
1002 Concord Dr
Bartlett, IL 60103-5704
Phone (630) 830-7842
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180005633 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750583761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 CONCORD DR",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601035704",
"telephone_number": "630-830-7842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 CONCORD DR",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601035704",
"telephone_number": "630-830-7842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRULKE",
"first_name": "LISA",
"middle_name": "SPIEKYS",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bartlett, IL
- Greater Elgin Family Care Center (Sycamore Trails Elementary)
- Greater Elgin Family Care Center (Prairieview Elementary)
- Greater Elgin Family Care Center (Liberty Elementary)
- Lynn J Griffis, RPH
- Scott Grosh, PA
- Serafin Frank Guerrero Jr., LSW
- Franklin Ha
- Grace Haffner
- Marian I Hafzalla
- Hanover Township
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.