Authentic Living Therapeutic Services Inc
NPI 1093580482ActiveOrganization· Counselor, Professional· Mt. Prospect, IL
Counselor, Professional in Mt. Prospect, Illinois, registered in NPPES in November 2023. The authorized official on file is Joyce Ann Gut, LCPC, Lcpc, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093580482 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 16, 2023 |
| Last updated in NPPES | Apr 30, 2024 |
| Certified by provider | Apr 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|