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
- 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 and National Provider Directory roles.
-
- Mental Health Counselor
- Chicago, IL
- NPI 1386048825
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.