Active NPI
Deborah A. Gust, M.A.
- Professional Counselor
- Gurnee, IL
National Provider Identifier
1962480111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 4343 Old Grand Avenue
Suite 107C
Gurnee, IL 60031-3393 - Phone
- (847) 662-2174
- Fax
- (847) 662-2159
- NPI assigned
- Jan 7, 2006
- Sex
- Female
- Sole proprietor
- No
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 | IL | Primary |
Addresses
Primary practice location
4343 Old Grand Avenue
Suite 107C
Gurnee, IL 60031-3393
Mailing address
4343 Old Grand Avenue
Ste. 107C
Gurnee, IL 60031-3393
Phone (847) 662-2174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180-003377 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Co-Operative Partners in Therapy | Professional | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Professional Counselor
- Gurnee, IL
- NPI 1750430278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962480111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4343 OLD GRAND AVENUE",
"address_2": "STE. 107C",
"city": "GURNEE",
"state": "IL",
"postal_code": "600313393",
"telephone_number": "847-662-2174",
"fax_number": "847-662-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 OLD GRAND AVENUE",
"address_2": "SUITE 107C",
"city": "GURNEE",
"state": "IL",
"postal_code": "600313393",
"telephone_number": "847-662-2174",
"fax_number": "847-662-2159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUST",
"first_name": "DEBORAH",
"middle_name": "A.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.