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

Gvantsa Ivanishvili, LPC

Individual provider Mental Health Counselor · NPI 1023953890

Gvantsa Ivanishvili, LPC is a Mental Health Counselor in Oak Park, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

215 Harrison St
Oak Park, IL 60304-1533
Phone: (708) 628-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 178022792 (IL)

Record details

NPI number1023953890
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedApril 20, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

Other providers in Oak Park