Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Raymond De Guzman Pasternak, MS, LCPC

Individual provider Professional Counselor · NPI 1598116618

Charles Raymond De Guzman Pasternak, MS, LCPC is a Mental Health Counselor in Park Ridge, Illinois. Qualified in 2016, 10 years ago. Practices with The Juniper Center PC, a 26-clinician group and accepts Medicare assignment. Licensed in Illinois and Texas.

Years since qualifying
10
Licensed in
IL, TX
In the registry since
2016
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

1440 Renaissance Dr Ste 320
Park Ridge, IL 60068-1471
Phone: (847) 759-9110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180.012047 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 76026 (TX)

Record details

NPI number1598116618
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LCPC
Sole proprietorYes
NPI enumeratedJune 30, 2016
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice The Juniper Center Pc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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