Northlight Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-008819 Issued in IL

Legal business name

NORTHLIGHT COUNSELING, LLC

Practice address

4180 Route 83
Suite #10
Long Grove, IL 60047

Phone

(847) 962-5234

NPI assigned

Jun 5, 2009

Organization subpart

No

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

Authorized official

Name

Jaril Faith Gallup, LCSW

Title

Owner/Sole Proprietor

Phone

(847) 962-5234

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaril Faith Gallup, LCSW

  • Clinical Social Worker
  • Cameron Park, CA
  • NPI 1487683868
  NPD (past)

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1922234822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 ROUTE 83",
            "address_2": "SUITE #10",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "60047",
            "telephone_number": "847-962-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 ROUTE 83",
            "address_2": "SUITE #10",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "60047",
            "telephone_number": "847-962-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLIGHT COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "GALLUP",
        "authorized_official_first_name": "JARIL FAITH",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "847-962-5234",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-008819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Navarro, LCSW
• Michelle A Navarro, PSY D
• Kimberly Nicholson, APN
• Agnieszka Nieciunski, APN
• Jennifer C Nieves, FNP-C
• Shohala Numaira, M.D.
• O'Donohue Partners LLC
• Kevin E Oconnor, MA
• Erin M. Odonohue, PSY.D.
• Helen E Okorie, NP

• Clinical Social Worker in Long Grove, IL
• Providers in Long Grove, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.