Glenisha Lavene Cole Foreman, PHD, LCPC, NCC, CCTP
NPI 1467062356ActiveIndividual· Counselor, Mental Health· Gurnee, IL
Counselor, Mental Health (PHD, LCPC, NCC, CCTP) in Gurnee, Illinois, licensed in IL, VA and WI, with an NPI issued in August 2020. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1467062356 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, LCPC, NCC, CCTP |
| Sole proprietor | No |
| NPI issued | Aug 5, 2020 |
| Last updated in NPPES | Mar 19, 2025 |
| Certified by provider | Mar 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 180.014284 | IL |
| Counselor, Mental Health | 101YM0800X | 0701014633 | VA |
| Counselor, Mental Health | 101YM0800X | 178.015753 | IL |
| Counselor, Mental Health | 101YM0800X | 11033125 | WI |
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 Practitioner - Mental Health Counselor (IL) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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All 51 mental health counselors in Gurnee · All mental health counselors in Illinois