Individual provider Active NPI

Gwyn Marie Zmolek, MA, LCPC, NCC

  • Professional Counselor
  • South Elgin, IL
National Provider Identifier
1992002299
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.008496 Issued in IL
Practice address
547 Arbor LN
South Elgin, IL 60177-2863
Phone
(630) 476-1944
Fax
(855) 975-2405
NPI assigned
Feb 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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 180.008496 IL Primary

Addresses

Primary practice location

547 Arbor LN
South Elgin, IL 60177-2863

Mailing address

547 Arbor LN
South Elgin, IL 60177-2863
Phone (630) 476-1944

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
I20240906001371 IL Practitioner - Mental Health Counselor 0143760074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

547 Arbor LN
South Elgin, IL 60177-2863
Phone (630) 476-1944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180.008496ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gwyn Zmolek Clinical Counseling, PLLC Professional CurrentSince Jul 26, 2024 Accepting new patients
Intermission Therapies, LTD. PastSince Nov 1, 2024 Accepting new patients
Emma B Arellano Cabusao LTD Past Accepting new patients

Organizations & group practices 3

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": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1992002299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 ARBOR LN",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601772863",
            "telephone_number": "630-476-1944",
            "fax_number": "855-975-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 ARBOR LN",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601772863",
            "telephone_number": "630-476-1944",
            "fax_number": "855-975-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZMOLEK",
        "first_name": "GWYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, LCPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Elgin, IL

Sources for this page

Verify at the official NPI Registry.