Raymond C. Wunderlich Jr., L.C.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-002811 Issued in IL

Practice address

4160 Il Route 83 Ste 204
Long Grove, IL 60047-8034

Phone

(847) 380-4806

NPI assigned

Mar 8, 2007

Last updated

Oct 3, 2022By the provider in NPPES

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wunderlich Counseling & Consulting LTD.

  • Professional Counselor
  • Long Grove, IL
  • NPI 1265159115
  Medicare reassignment NPD Authorized official
• White Stone Resources LTD.

  • Professional Counselor
  • Palatine, IL
  • NPI 1124159124
  NPD (past) Authorized official
• White Stone Partners LLC

  dba White Stone Counseling Resources

  • Professional Counselor
  • Lake Bluff, IL
  • NPI 1801543616
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1912038910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W HALF DAY RD",
            "address_2": "PMB 284",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896547",
            "telephone_number": "847-380-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 IL ROUTE 83 STE 204",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600478034",
            "telephone_number": "847-380-4806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 N North Ct",
            "address_2": "Suite 215",
            "address_purpose": "LOCATION",
            "city": "Palatine",
            "state": "IL",
            "postal_code": "600678157",
            "country_code": "US",
            "telephone_number": "847-821-9346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUNDERLICH",
        "first_name": "RAYMOND",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-002811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Waller, DPT
• Tricia Helen Ward, APN
• Mindy Waxman, PSY.D.
• Lora White
• Wunderlich Counseling & Consulting LTD.
• Yiran Xu, DMD
• Kristin Yates, NP
• Michelle N Zmick, D.D,S,

• Professional Counselor in Long Grove, IL
• Providers in Long Grove, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.