Healthcare Provider Details

I. General information

NPI: 1598389918
Provider Name (Legal Business Name): GAGGLE.NET, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2020
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 E EMPIRE ST STE 258
BLOOMINGTON IL
61704-3532
US

IV. Provider business mailing address

PO BOX 736907
CHICAGO IL
60673-3515
US

V. Phone/Fax

Practice location:
  • Phone: 800-288-7750
  • Fax:
Mailing address:
  • Phone: 800-288-7750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: HEATHER DURKAC
Title or Position: CHIEF INNOVATION OFFICER
Credential:
Phone: 309-665-0572