Active NPI
Victoria Garrison, L.C.P.C.
- Professional Counselor
- Grayslake, IL
National Provider Identifier
1811233349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.008283
- Practice address
- 205 Commerce Drive
Suite C
Grayslake, IL 60030 - Phone
- (847) 752-4897
- Fax
- (847) 367-5997
- NPI assigned
- Jan 3, 2013
- 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 | 180.008283 | IL | Primary |
Addresses
Primary practice location
205 Commerce Drive
Suite C
Grayslake, IL 60030
Mailing address
22 S Monica Dr
Lake Villa, IL 60046-8711
Phone (224) 627-2171
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 |
|---|---|---|---|
| 180.008283 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423008000000",
"number": "1811233349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 S MONICA DR",
"city": "LAKE VILLA",
"state": "IL",
"postal_code": "600468711",
"telephone_number": "224-627-2171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 COMMERCE DRIVE",
"address_2": "SUITE C",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "60030",
"telephone_number": "847-752-4897",
"fax_number": "847-367-5997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "VICTORIA",
"credential": "L.C.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-03",
"last_updated": "2015-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.008283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.