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COUNSELING CENTER OF GRAYSLAKE LTD.
NPI 1194267385
Social Worker - Clinical in Grayslake, IL

Active since November 06, 2016
142 HAWLEY ST STE 5, GRAYSLAKE, IL 60030(847) 962-9549 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 24, 2022, Nov 8, 2016, Nov 6, 2016 (3 updates tracked since 2016).

About Counseling Center Of Grayslake Ltd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNSELING CENTER OF GRAYSLAKE LTD. (NPI 1194267385) is a healthcare organization registered as a clinical in Grayslake, Illinois and active in the NPI registry since November 2016. The organization lists Julie Pettinato, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1194267385
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCOUNSELING CENTER OF GRAYSLAKE LTD.
Location Address142 HAWLEY ST STE 5Grayslake, IL 60030-3653
Mailing Address1190 E Washington StGrayslake, IL 60030-7960 · (847) 962-9549 · Fax (847) 549-2235
Phone(847) 962-9549
Organization SubpartNo
Authorized OfficialJulie PettinatoManaging Director · (847) 962-9549
Enumeration DateNovember 6, 2016
Last NPPES UpdateFebruary 24, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2022
✔ NPI 1194267385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
142 HAWLEY ST STE 5, Grayslake, IL 60030
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Other Identifiers 2

Other149.014706IL · License - Social Worker, Clinical
OtherF300232686IL · Medicare Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Counseling Center Of Grayslake Ltd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

22

Medicare enrollment records show 22 clinicians reassign Medicare billing to Counseling Center Of Grayslake Ltd., which bills Medicare for the services they deliver. Of these, 13 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Clinical Social Worker11
Mental Health Counselor11

Nearest to this location (20)

See all 22
Brian Schultz, LCSW
Clinical Social Worker
NPI 1013554575
106 CENTER ST
Grayslake, IL 60030
(847) 549-2235
✔ PECOS✔ Accepts Medicare0.1 mi
Jordan Mallery
Mental Health Counselor
NPI 1891575254
1190 E WASHINGTON ST
Grayslake, IL 60030
(847) 549-2235
✔ PECOS1.1 mi
Erin Mister
Mental Health Counselor
NPI 1619645751
1190 E WASHINGTON ST
Grayslake, IL 60030
(847) 549-2235
✔ PECOS1.1 mi
Christina Rojas-Santos, MS
Mental Health Counselor
NPI 1528823572
1190 E WASHINGTON ST
Grayslake, IL 60030
(847) 549-2235
✔ PECOS✔ Accepts Medicare1.1 mi
Hana Holman
Clinical Social Worker
NPI 1962214791
1190 E WASHINGTON ST
Grayslake, IL 60030
(847) 549-2235
✔ PECOS✔ Accepts Medicare2.0 mi
Renika Howard
Clinical Social Worker
NPI 1104612464
1190 E WASHINGTON ST
Grayslake, IL 60030
(847) 549-2235
✔ PECOS2.0 mi
Chelsey Mcswain
Mental Health Counselor
NPI 1316733702
1190 E WASHINGTON ST
Grayslake, IL 60030
(847) 549-2235
✔ PECOS✔ Accepts Medicare2.0 mi
Jennifer Saye, LPC
Mental Health Counselor
NPI 1992515761
1190 E WASHINGTON ST
Grayslake, IL 60030
(847) 549-2235
✔ PECOS✔ Accepts Medicare2.0 mi
Deborah Vanderwall
Clinical Social Worker
NPI 1437645835
26211 W BOESCH PL
Ingleside, IL 60041
(847) 344-4606
✔ PECOS6.3 mi
Dominic Caputa, LCSW
Clinical Social Worker
NPI 1851672398
3010 GRAND AVE FIRST FLOOR
Waukegan, IL 60085
(847) 377-8972
✔ PECOS✔ Accepts Medicare8.6 mi
Julie Pettinato, LCSW
Clinical Social Worker
NPI 1447531777
3010 GRAND AVE
Waukegan, IL 60085
(847) 377-8950
✔ PECOS✔ Accepts Medicare8.6 mi
Charles Hutchcraft, MSW
Clinical Social Worker
NPI 1033483490
3010 GRAND AVE
Waukegan, IL 60085
(847) 377-8954
✔ PECOS✔ Accepts Medicare8.6 mi
Courtney Mounce
Mental Health Counselor
NPI 1023561222
3010 GRAND AVE
Waukegan, IL 60085
(847) 212-4709
✔ PECOS✔ Accepts Medicare8.6 mi
Talha Khurshid
Mental Health Counselor
NPI 1699445072
917 SHERWOOD DR
Lake Bluff, IL 60044
(877) 486-4140
✔ PECOS10 mi
Rebecca De Rosa, LPC
Mental Health Counselor
NPI 1871058644
3504 COMMERCIAL AVE
Northbrook, IL 60062
(847) 272-5111
✔ PECOS✔ Accepts Medicare16 mi
Aryn Rose, LSW
Clinical Social Worker
NPI 1902365075
1280 OLD SKOKIE RD
Highland Park, IL 60035
(847) 962-2345
✔ PECOS✔ Accepts Medicare16 mi
Patricia Stern, LCSW
Clinical Social Worker
NPI 1902329279
660 GRAY AVENUE
Highland Park, IL 60035
(847) 926-0990
✔ PECOS17 mi
Kendall Bunnell
Mental Health Counselor
NPI 1265209019
5455 SHERIDAN RD LOWR LEVEL10
Kenosha, WI 53140
(262) 909-0356
✔ PECOS20 mi
Faya Kacos-Shiu, LCSW
Clinical Social Worker
NPI 1194118802
4536 22ND AVE
Kenosha, WI 53140
(262) 656-0044
✔ PECOS20 mi
Susan Smith, LCSW
Clinical Social Worker
NPI 1336762392
222 E WILLOW AVE
Wheaton, IL 60187
(847) 845-6582
✔ PECOS33 mi
See all 22 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Counseling Center Of Grayslake Ltd.'s NPI number?

The NPI number for Counseling Center Of Grayslake Ltd. is 1194267385. It was assigned to this organization in the NPPES registry on November 6, 2016.

Where is Counseling Center Of Grayslake Ltd. located?

Counseling Center Of Grayslake Ltd. is located at 142 Hawley St Ste 5, Grayslake, IL 60030. The listed phone number is (847) 962-9549.

What is Counseling Center Of Grayslake Ltd.'s specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Counseling Center Of Grayslake Ltd. enrolled in Medicare?

Yes. Counseling Center Of Grayslake Ltd. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Counseling Center Of Grayslake Ltd.?

According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 2 Medicare specialties reassign their Medicare billing to Counseling Center Of Grayslake Ltd.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (11) and Mental Health Counselor (11). Of these, 13 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Counseling Center Of Grayslake Ltd. was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.