Individual provider Active NPI

Gretchen Anne Lewis, LCPC

  • Mental Health Counselor
  • Downers Grove, IL
National Provider Identifier
1851832604
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178012115 Issued in IL
Practice address
4902 Washington St
Downers Grove, IL 60515-3752
Phone
(630) 464-9352
NPI assigned
Mar 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180012535 IL
Mental Health Counselor 101YM0800X 178012115 IL Primary

Addresses

Primary practice location

4902 Washington St
Downers Grove, IL 60515-3752

Mailing address

4902 Washington St
Downers Grove, IL 60515-3752
Phone (630) 464-9352

Other practice location 1

35 E Wacker Dr
1740
Chicago, IL 60601-2314
Phone (630) 464-9352

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

LicenseStateTypeSpecialty
178012115ILMDMental Health Counselor
180012535ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Namaste Wellness Center CurrentSince Dec 6, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1851832604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 WASHINGTON ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153752",
            "telephone_number": "630-464-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 WASHINGTON ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153752",
            "telephone_number": "630-464-9352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 E Wacker Dr",
            "address_2": "1740",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606012314",
            "country_code": "US",
            "telephone_number": "630-464-9352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GRETCHEN",
        "middle_name": "ANNE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180012535",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178012115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.