Individual provider Active NPI

Donna Jean Gluck, EDD, LCPC

  • Professional Counselor
  • Downers Grove, IL
National Provider Identifier
1932319258
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-0047-46 Issued in IL
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

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
180-004746OtherILLCPC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241210001010 IL Practitioner - Mental Health Counselor 0749716082 Reassigns benefits to 1 organization

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
D G Counseling IncGroup PAC ID 9234665571, 2 clinicians

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

LicenseStateTypeSpecialty
180-0047-46ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
D G Counseling Inc Professional CurrentSince Oct 26, 2024 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

Verify at the official NPI Registry.