Individual provider Active NPI

Greg James Kulik, LCPC, CADC

  • Professional Counselor
  • Winthrop Harbor, IL
National Provider Identifier
1972098408
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.013464 Issued in IL
Practice address
132 Thompson Ave
Winthrop Harbor, IL 60096-1152
Phone
(872) 203-3640
NPI assigned
Jun 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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 180.013464 IL Primary

Addresses

Primary practice location

132 Thompson Ave
Winthrop Harbor, IL 60096-1152

Mailing address

132 Thompson Ave
Winthrop Harbor, IL 60096-1152
Phone (872) 203-3640

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
I20240605000887 IL Practitioner - Mental Health Counselor 8921540071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 clinicians

Practice addresses (Care Compare)

2506 Galen Dr
Suite 101
Champaign, IL 61821-7047
Phone (888) 428-7890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.013464ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Keri Powell Therapy Inc Mental Health CurrentSince Mar 24, 2024 Accepting new patients
Edgewood Clinical Services, P.C. Mental Health CurrentSince Sep 8, 2025 Accepting new patients
Psychology Specialists LTD PastSince Sep 8, 2025 Accepting new patients
Psychology Specialists LTD Past Accepting new patients

Locations

808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007

2125 S Neil St
Champaign, IL 61820
Phone (217) 356-3736

2506 Galen Dr
Ste 101
Champaign, IL 61821
Phone (217) 693-6072

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

175 E Hawthorne Pkwy
Ste 235
Vernon Hills, IL 60061
Phone (847) 865-4125

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1972098408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 THOMPSON AVE",
            "city": "WINTHROP HARBOR",
            "state": "IL",
            "postal_code": "600961152",
            "telephone_number": "872-203-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 THOMPSON AVE",
            "city": "WINTHROP HARBOR",
            "state": "IL",
            "postal_code": "600961152",
            "telephone_number": "872-203-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULIK",
        "first_name": "GREG",
        "middle_name": "JAMES",
        "credential": "LCPC, CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.013464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winthrop Harbor, IL

Sources for this page

Verify at the official NPI Registry.