OLESEA GORE LPC
NPI 1518765585
Counselor - Mental Health in Crystal Lake, IL

Active since March 05, 2025PECOS EnrolledAccepts Medicare Assignment
44 N VIRGINIA ST STE 3B, CRYSTAL LAKE, IL 60014(815) 363-0864 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Olesea Gore Lpc NPPES

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

OLESEA GORE LPC (NPI 1518765585) is an individual mental health provider in Crystal Lake, Illinois, licensed in Illinois (178.021360) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Algonquin, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1518765585
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameOLESEA GORECredential: LPC
Location Address44 N VIRGINIA ST STE 3BCrystal Lake, IL 60014-4154
Mailing Address44 N Virginia St Ste 3bCrystal Lake, IL 60014-4154 · (815) 363-0864
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 5, 2025
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1518765585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 178.021360
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 178.021360 (IL)
44 N VIRGINIA ST STE 3B, Crystal Lake, IL 60014

Secondary Practice Location 1

Location 1265 Stonegate Rd Ste 102Algonquin, IL 60102-5614 · Phone (224) 678-9180 · Fax (224) 678-9369

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Olesea Gore Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608336060
PECOS Enrollment IDI20260903005174
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Olesea Gore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
44 N VIRGINIA ST STE 3B
Crystal Lake, IL 60014
  • Reassigned Medicare billing, Illinois enrollment
  • 9 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
44 N VIRGINIA ST STE 3B
CRYSTAL LAKE, IL 60014
Counselor (Professional)
44 N VIRGINIA ST STE 3B
CRYSTAL LAKE, IL 60014
Social Worker
44 N VIRGINIA ST STE 3B
CRYSTAL LAKE, IL 60014
Counselor (Professional)
44 N VIRGINIA ST STE 3B
CRYSTAL LAKE, IL 60014
Counselor (Mental Health)
44 N VIRGINIA ST STE 3B
CRYSTAL LAKE, IL 60014

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 Olesea Gore's NPI number?

The NPI number for Olesea Gore is 1518765585. It was assigned to this individual provider in the NPPES registry on March 5, 2025.

Where is Olesea Gore located?

Olesea Gore practices at 44 N Virginia St Ste 3B, Crystal Lake, IL 60014. The listed phone number is (815) 363-0864.

What is Olesea Gore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Olesea Gore enrolled in Medicare?

Yes. Olesea Gore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Olesea Gore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olesea Gore reassigns Medicare benefits to Ech Counseling PLLC (Crystal Lake, IL). The 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 Olesea Gore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olesea Gore accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Olesea Gore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Olesea Gore was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.