Individual provider Active NPI

Rachael Clauson

  • Mental Health Counselor
  • Downers Grove, IL
National Provider Identifier
1851890339
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.013206 Issued in IL
Practice address
4336 Saratoga Ave FL 2
Downers Grove, IL 60515-2866
Phone
(847) 477-8244
NPI assigned
Feb 9, 2018
Last updated
Apr 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.013206 IL Primary

Addresses

Primary practice location

4336 Saratoga Ave FL 2
Downers Grove, IL 60515-2866

Mailing address

3203 Hickory Creek Dr
New Lenox, IL 60451-9688

Other practice location 1

9241 S Illinois Rte 31
Lake in the Hills, IL 60156
Phone (847) 854-4333

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
178.013206ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sudhir M Gokhale MD SC Current Accepting new patients
Creative Clinical Consulting LLC PastSince Jul 1, 2022 Accepting new patients

Locations

10735 S Cicero Ave
Ste 100
Oak Lawn, IL 60453
Phone (708) 581-5866

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1851890339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 HICKORY CREEK DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4336 SARATOGA AVE FL 2",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152866",
            "telephone_number": "847-477-8244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9241 S Illinois Rte 31",
            "address_purpose": "LOCATION",
            "city": "Lake in the Hills",
            "state": "IL",
            "postal_code": "60156",
            "country_code": "US",
            "telephone_number": "847-854-4333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAUSON",
        "first_name": "RACHAEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.013206",
            "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 Apr 6, 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.