Counseling Center of Grayslake Ltd.
NPI 1194267385ActiveOrganization· Social Worker, Clinical· Grayslake, IL
Social Worker, Clinical in Grayslake, Illinois, registered in NPPES in November 2016. The authorized official on file is Julie Pettinato, LCSW, Managing Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194267385 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 6, 2016 |
| Last updated in NPPES | Feb 24, 2022 |
| Certified by provider | Feb 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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) |
|---|
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