MEDICARE: GUIDING BEHAVIOR COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-14-17879	IL
2	1041C0700X	Clinical Social Worker	149015268	IL

General Provider Information

NPI Number	:	1225492846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUIDING BEHAVIOR COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	2923 N MILWAUKEE AVE STE 306
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-7886
Country	:	US
Telephone Number	:	773-217-0478
Fax Number	:

Provider Business Practice Location Address
First Line	:	2923 N MILWAUKEE AVE UNIT 306
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-7886
Country	:	US
Telephone Number	:	773-726-4832
Fax Number	:	773-409-5458

Authorized Official
Title or Position	:	LCSW, BCBA
Name	:	GINNY NIKIFOROS
Credential	:	LCSW, BCBA
Telephone Number	:	773-217-0478

Provider Enumeration Date	:	04/09/2016
Last Update Date	:	03/18/2026

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