Organization Active NPI

Gunderkline Counseling LLC

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1790280170
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
149.017384 Issued in IL
Legal business name
GUNDERKLINE COUNSELING LLC
Practice address
4753 N Broadway St Ste 928
Chicago, IL 60640-7911
Phone
(937) 206-7171
NPI assigned
Mar 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Authorized official

Name
Eve Gunderkline, LCSW
Title
Owner Therapist
Phone
(937) 206-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 149.017384 IL Primary

Addresses

Primary practice location

4753 N Broadway St Ste 928
Chicago, IL 60640-7911

Mailing address

4753 N Broadway St Ste 928
Chicago, IL 60640-7911
Phone (937) 206-7171

National Provider Directory

National Provider Directory

Locations

4753 N Broadway St
Ste 928
Chicago, IL 60640
Phone (773) 472-6615

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1790280170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4753 N BROADWAY ST STE 928",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407911",
            "telephone_number": "937-206-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4753 N BROADWAY ST STE 928",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407911",
            "telephone_number": "937-206-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNDERKLINE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "GUNDERKLINE",
        "authorized_official_first_name": "EVE",
        "authorized_official_title_or_position": "OWNER THERAPIST",
        "authorized_official_telephone_number": "937-206-7171",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149.017384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.