Active NPI
Grisel Gerena, LPC
- Professional Counselor
- Lake Bluff, IL
National Provider Identifier
1962928192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180013433
- Practice address
- 49 Sherwood Ter Ste R
Lake Bluff, IL 60044-2231 - Phone
- (847) 582-0588
- Fax
- (847) 278-8559
- NPI assigned
- Aug 18, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180013433 | IL | Primary |
| Mental Health Counselor | 101YM0800X | 178013083 | IL |
Addresses
Primary practice location
49 Sherwood Ter Ste R
Lake Bluff, IL 60044-2231
Mailing address
9904 W Michigan Blvd
Beach Park, IL 60099-3854
Phone (224) 730-3352
Other practice location 1
73 W Monroe St Ste 422
Chicago, IL 60603-4955
Phone (888) 500-2067
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178013083 | IL | MD | Mental Health Counselor |
| 180013433 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cartwheel Health Services PC | Mental Health | 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.
-
- Child & Adolescent Psychiatry Physician
- Cambridge, MA
- NPI 1912633975
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1962928192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9904 W MICHIGAN BLVD",
"city": "BEACH PARK",
"state": "IL",
"postal_code": "600993854",
"telephone_number": "224-730-3352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 SHERWOOD TER STE R",
"city": "LAKE BLUFF",
"state": "IL",
"postal_code": "600442231",
"telephone_number": "847-582-0588",
"fax_number": "847-278-8559"
}
],
"practiceLocations": [
{
"address_1": "73 W Monroe St Ste 422",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606034955",
"country_code": "US",
"telephone_number": "888-500-2067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GERENA",
"first_name": "GRISEL",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-18",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180013433",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178013083",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Bluff, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.