Individual provider Active NPI

Pagel Edward Palmer Jr., LMFT

  • Marriage & Family Therapist
  • Addison, IL
National Provider Identifier
1043931231
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166001825 Issued in IL
Practice address
303 W Lake St Ste 301
Addison, IL 60101-2565
Phone
(331) 221-1650
NPI assigned
Sep 7, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166001825 IL Primary

Addresses

Primary practice location

303 W Lake St Ste 301
Addison, IL 60101-2565

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Phone (331) 221-1650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220003173 IL Practitioner - Marriage and Family Therapist 9335582444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dekalb Behavioral Health Foundation, Inc. Current Accepting new patients
Dekalb Behavioral Health Foundation, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients
Dekalb Behavioral Health Foundation, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Mar 1, 2025 Accepting new patients
Family Service Agency of Dekalb County, Inc. PastSince Sep 1, 2022 Accepting new patients
Aspire ABA Services Inc Past Accepting new patients
Family Service Agency of Dekalb County, Inc. PastSince Nov 19, 2023 Accepting new patients

Locations

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

9532 Eagle Way
Chicago, IL 60678

12 Health Services Dr
DeKalb, IL 60115
Phone (815) 756-4875

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

Organizations & group practices 8

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": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1043931231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE STE 1223",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "331-221-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W LAKE ST STE 301",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012565",
            "telephone_number": "331-221-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER JR.",
        "first_name": "PAGEL",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-07",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166001825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

Verify at the official NPI Registry.