Active NPI
Pagel Edward Palmer Jr., LMFT
- Marriage & Family Therapist
- Addison, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166001825
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
2650 Ridge Ave
Evanston, IL 60201-1700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dekalb Behavioral Health Foundation, Inc. | Current | Accepting new patients | |
| Dekalb Behavioral Health Foundation, Inc. | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Dekalb Behavioral Health Foundation, Inc. | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Family Service Agency of Dekalb County, Inc. | Past | Accepting new patients | |
| Aspire ABA Services Inc | Past | Accepting new patients | |
| Family Service Agency of Dekalb County, Inc. | Past | 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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dekalb, IL
- NPI 1255703450
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Sandwich, IL
- NPI 1487015194
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Dekalb, IL
- NPI 1659868859
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Adolescent and Children Mental Health Clinic/Center
- Aurora, IL
- NPI 1235931668
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dekalb, IL
- NPI 1184154007
-
- Clinic/Center
- Dekalb, IL
- NPI 1598820300
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.