Active NPI
Gwendolyn Anne Tsuji, LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1861001471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.013855
- Practice address
- 2000 N Racine Ave # 3300
Chicago, IL 60614-4045 - Phone
- (773) 413-9523
- NPI assigned
- Jul 29, 2020
- Last updated
- Aug 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.014853 | IL | |
| Professional Counselor | 101YP2500X | 180.013855 | IL | Primary |
Addresses
Primary practice location
2000 N Racine Ave # 3300
Chicago, IL 60614-4045
Mailing address
2000 N Racine Ave # 3300
Chicago, IL 60614-4045
Phone (312) 953-6882
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 |
|---|---|---|---|
| 178.014853 | IL | MD | Professional Counselor |
| 180.013855 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abbie Kelley, LLC | Current | Accepting new patients |
Locations
2000 N Racine Ave
Ste 3300
Chicago, IL 60614
Phone (773) 413-9523
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, 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": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630108800000",
"number": "1861001471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 N RACINE AVE # 3300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606144045",
"telephone_number": "312-953-6882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 N RACINE AVE # 3300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606144045",
"telephone_number": "773-413-9523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSUJI",
"first_name": "GWENDOLYN",
"middle_name": "ANNE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-29",
"last_updated": "2021-08-28",
"certification_date": "2021-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.014853",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.013855",
"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 Aug 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.