Emily Gerber
Individual provider Active NPI Professional Counselor · Gibson City, IL
NPI 1003361700 · NPPES record last updated Jan 6, 2022
Key facts
- NPI
- 1003361700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 4 Doctors Park
Gibson City, IL 60936-2000 - Phone
- (217) 784-4540
- Fax
- (217) 784-4542
- NPI assigned
- Aug 23, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Becoming Branches PLLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IL | Yes |
Addresses
Primary practice location
4 Doctors Park
Gibson City, IL 60936-2000
Mailing address
1120 N Melvin St Ste 303
Gibson City, IL 60936-1477
Phone (217) 784-4540
Other practice location 1
705 E Lincoln St
Suite 303
Normal, IL 61761-6406
Phone (309) 451-9495 ext. 19495
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370647938 | Medicaid | IL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emily.wenger.p27@direct.gapho.nextgenshare.com | Direct |
Other providers in Gibson City, IL
- Janet Elaine Flageole
- Ford County Special Education Cooperative
- Therese Rose Freehill-Davis
- Elizabeth Frerichs
- Omar Geada
- Gibson Area Hospital
- Gibson Area Hospital Ambulance Service
- Gibson Area Hospital Therapy Services
- Gibson City Clinic SC
- Gibson City Melvin Sibley #5
All providers in Gibson City, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.