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Deactivated NPI 1407977168 Deactivated / Inactive NPI Female Practitioner

Gloria Bulava

Counselor • Mchenry, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Gloria Bulava has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 02, 2007
NPI Deactivation Date March 09, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Gloria Bulava was a registered Counselor practicing in Mchenry, IL. Throughout an active medical career spanning 11 years, Gloria Bulava provided care at the practice location at 4100 VETERANS PARKWAY until profile deactivation on 2018-03-09.

Practice Location & Contact Primary Location

Practice Address

4100 Veterans Parkway

Mchenry, IL 60050

Telephone 8156856400
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Mchenry, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
35 Specialists

Practicing in Mchenry, IL (3897 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License IL 22358

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Lisa Herman

Social Worker - Clinical

NPI 1225157092

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 09, 2018

Record deactivated on March 09, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4100 VETERANS PARKWAY, MCHENRY, IL 60050 (Tel: 8156856400)

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Updated Business Mailing Address July 08, 2007

Registered at 4100 VETERANS PARKWAY, MCHENRY, IL 60050

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Provider Name / Credentials Updated July 08, 2007

Recorded as GLORIA BULAVA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #22358 in IL)

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Initial NPI Registration & Enumeration April 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407977168
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2007
Last Update: July 08, 2007
Deactivation Date: March 09, 2018

Mailing Address

4100 Veterans Parkway

Mchenry, IL 60050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.