Individual provider Active NPI

Kathryn Rose-Gaber Tepas

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1023836970
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.020633 Issued in IL
Practice address
20 N Carpenter St Apt 2S
Chicago, IL 60607-6001
Phone
(815) 735-0510
NPI assigned
Sep 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.020633 IL Primary

Addresses

Primary practice location

20 N Carpenter St Apt 2S
Chicago, IL 60607-6001

Mailing address

20 N Carpenter St Apt 2S
Chicago, IL 60607-6001
Phone (815) 735-0510

Other practice location 1

480 N McClurg Ct Apt 513
Chicago, IL 60611-5337
Phone (312) 955-0319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178.020633ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cartwheel Health Services PC Mental Health Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1023836970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N CARPENTER ST APT 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606076001",
            "telephone_number": "815-735-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N CARPENTER ST APT 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606076001",
            "telephone_number": "815-735-0510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 N McClurg Ct Apt 513",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606115337",
            "country_code": "US",
            "telephone_number": "312-955-0319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEPAS",
        "first_name": "KATHRYN",
        "middle_name": "ROSE-GABER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.020633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.