Active NPI
Anton P Gleason, MA., NCC., LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1962860080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180009555
- Practice address
- 6626 S Kimbark Ave
2S
Chicago, IL 60637-4488 - Phone
- (773) 931-8379
- NPI assigned
- Feb 3, 2016
- Sex
- Male
- 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 | 180009555 | IL | Primary |
Addresses
Primary practice location
6626 S Kimbark Ave
2S
Chicago, IL 60637-4488
Mailing address
6626 S Kimbark Ave
2S
Chicago, IL 60637-4488
Phone (773) 931-8379
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180009555 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454457600000",
"number": "1962860080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 S KIMBARK AVE",
"address_2": "2S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606374488",
"telephone_number": "773-931-8379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6626 S KIMBARK AVE",
"address_2": "2S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606374488",
"telephone_number": "773-931-8379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEASON",
"first_name": "ANTON",
"middle_name": "P",
"credential": "MA., NCC., LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-03",
"last_updated": "2016-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180009555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.