Mark Joseph Gorzkowski, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180008648 Issued in IL

Practice address

1333 Burr Ridge Pkwy Ste 200
Burr Ridge, IL 60527-0833

Phone

(630) 923-5558

NPI assigned

Dec 29, 2013

Sex

Male

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

Locations

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.

• Brookside Clinical Services

  • Community/Behavioral Health Agency
  • Burr Ridge, IL
  • NPI 1699277277
  NPD Authorized official

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

{
    "created_epoch": "1388275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577836800000",
    "number": "1902227556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 BURR RIDGE PKWY STE 200",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270833",
            "telephone_number": "630-923-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 BURR RIDGE PKWY STE 200",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270833",
            "telephone_number": "630-923-5558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24012 W Renwick Rd Ste 204A",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605448733",
            "country_code": "US",
            "telephone_number": "815-676-4688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORZKOWSKI",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-29",
        "last_updated": "2020-01-01",
        "certification_date": "2020-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180008648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Gillespie, PA-C
• Scott E Glaser, M.D.
• Sarah H Glavin, MD
• Samuel Golden, MD
• Eduardo Gomez
• Iris Victoria Goss
• Paull Christopher Gossett, DDS
• Great Lakes Endocrine and General Surgery LLC
• Jared Asher Greenberg, M.D.
• Sarah A Gura, M.A., L.C.P.C.

• Mental Health Counselor in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.