Healthcare Provider Details

I. General information

NPI: 1013538131
Provider Name (Legal Business Name): A NEW DAY FAMILY COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2020
Last Update Date: 03/15/2021
Certification Date: 02/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23819 W MILL ST
PLAINFIELD IL
60544-3457
US

IV. Provider business mailing address

13002 SKYLINE DR
PLAINFIELD IL
60585-1460
US

V. Phone/Fax

Practice location:
  • Phone: 815-313-4161
  • Fax:
Mailing address:
  • Phone: 815-999-5684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: GWEN E GINSKI
Title or Position: OWNER
Credential: LCSW
Phone: 815-999-5684