Active NPI
Donna Jean Gluck, EDD, LCPC
- Professional Counselor
- Downers Grove, IL
National Provider Identifier
1932319258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180-0047-46
- Practice address
- 1001 Maple Ave
Downers Grove, IL 60515-4928 - Phone
- (630) 353-0697
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180-0047-46 | IL | Primary |
Addresses
Primary practice location
1001 Maple Ave
Downers Grove, IL 60515-4928
Mailing address
1001 Maple Ave
Downers Grove, IL 60515-4928
Phone (630) 353-0697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180-004746 | Other | IL | LCPC |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Maple Ave
Downers Grove, IL 60515-4928
Phone (630) 353-0697
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180-0047-46 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D G Counseling Inc | Professional | Current | Accepting new patients |
Locations
1001 Maple Ave
Downers Grove, IL 60515
Phone (630) 353-0697
799 Roosevelt Rd
Ste 105
Glen Ellyn, IL 60137
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1932319258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 MAPLE AVE",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605154928",
"telephone_number": "630-353-0697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MAPLE AVE",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605154928",
"telephone_number": "630-353-0697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLUCK",
"first_name": "DONNA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "EDD, LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-0047-46",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCPC",
"identifier": "180-004746",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.