COUNSELING CENTER OF THE NORTH SHORE, INC.
NPI 1205841954
Psychologist - Clinical in Winnetka, IL

Active since July 30, 2006
992 1/2 GREEN BAY RD, WINNETKA, IL 60093(847) 446-8060(847) 446-9768 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2024, May 22, 2018, Apr 25, 2017 (3 updates tracked since 2017).

About Counseling Center Of The North Shore, Inc. NPPES

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

COUNSELING CENTER OF THE NORTH SHORE, INC. (NPI 1205841954) is a healthcare organization registered as a clinical in Winnetka, Illinois and active in the NPI registry since July 2006. The organization lists Robert M Mardirossian, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1205841954
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCOUNSELING CENTER OF THE NORTH SHORE, INC.
Location Address992 1/2 GREEN BAY RDWinnetka, IL 60093
Mailing Address992 1/2 Green Bay RdWinnetka, IL 60093-1722 · (847) 446-8060 · Fax (847) 446-9768
Fax(847) 446-9768
Organization SubpartNo
Authorized OfficialRobert M MardirossianExecutive Director · (847) 446-8060
Enumeration DateJuly 30, 2006
Last NPPES UpdateJanuary 5, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
✔ NPI 1205841954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071.009790
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
992 1/2 GREEN BAY RD, Winnetka, IL 60093

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 The North Shore, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Counseling Center Of The North Shore, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Clinical Social Worker
NPI 1780042788
992 1/2 GREEN BAY RD
Winnetka, IL 60093
(847) 446-8060
✔ PECOSSame address
Clinical Social Worker
NPI 1457949984
992 1/2 GREEN BAY RD
Winnetka, IL 60093
(847) 446-8060
✔ PECOSSame address
Mental Health Counselor
NPI 1013674340
992 1/2 GREEN BAY RD
Winnetka, IL 60093
(847) 446-8060
✔ PECOSSame address
Clinical Social Worker
NPI 1770212102
6666 N WESTERN AVE
Chicago, IL 60645
(312) 857-6716
✔ PECOS8.5 mi
Mental Health Counselor
NPI 1134745417
5320 N SHERIDAN RD APT 1310
Chicago, IL 60640
(872) 366-1474
✔ PECOS11 mi
Clinical Social Worker
NPI 1255501680
1608 N MILWAUKEE AVE SUITE 709
Chicago, IL 60647
(773) 531-6808
✔ PECOS15 mi

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 The North Shore, Inc.'s NPI number?

The NPI number for Counseling Center Of The North Shore, Inc. is 1205841954. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Counseling Center Of The North Shore, Inc. located?

Counseling Center Of The North Shore, Inc. is located at 992 1/2 Green Bay Rd, Winnetka, IL 60093. The listed phone number is (847) 446-8060.

What is Counseling Center Of The North Shore, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Counseling Center Of The North Shore, Inc. enrolled in Medicare?

Yes. Counseling Center Of The North Shore, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Counseling Center Of The North Shore, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Counseling Center Of The North Shore, Inc.. 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 (4) and Mental Health Counselor (2). Of these, 3 practice at this address and 4 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 The North Shore, Inc. was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.