Grace O'Brien, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178012237 Issued in IL

Practice address

4365 Lawn Ave
Suite 8
Western Springs, IL 60558

Phone

(773) 888-2602

NPI assigned

Mar 8, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ag Psychology Associates, PC

  • Clinical Psychologist
  • Western Springs, IL
  • NPI 1497149322
  NPD (past)

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1891235909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W WEBSTER AVE",
            "address_2": "2F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 LAWN AVE",
            "address_2": "SUITE 8",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "60558",
            "telephone_number": "773-888-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "GRACE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178012237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neu Eyecare, PC
• Isabel Nicholson
• Janis Noone, APN
• Northern Illinois Foot & Ankle Specialists, LTD
• Nutrition Permission
• Phillip O'Reilly
• Irene O'Ryan-Fox, MS, CCC SLP
• Tracey A Olson, LCSW
• Christin Oshaughnessy
• Monica Pachicano

• Professional Counselor in Western Springs, IL
• Providers in Western Springs, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.