Maribeth Gomez Germino, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180014002 Issued in IL

Practice address

155 N Michigan Ave Ste 707
Chicago, IL 60601-7706

Phone

(312) 819-7381

NPI assigned

Mar 17, 2020

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Maribeth Custodio Gomez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Sage Therapy Chicago, PLLC

  dba Sage Therapy

  • Professional Counselor
  • Chicago, IL
  • NPI 1376154302
  NPD

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1083240410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 707",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017706",
            "telephone_number": "312-819-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 707",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017706",
            "telephone_number": "312-819-7381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3047 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606574999",
            "country_code": "US",
            "telephone_number": "312-819-7381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1811 W North Ave Ste 402",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606220204",
            "country_code": "US",
            "telephone_number": "312-819-7381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERMINO",
        "first_name": "MARIBETH",
        "middle_name": "GOMEZ",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178014940",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIBETH",
            "last_name": "GOMEZ",
            "middle_name": "CUSTODIO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eliza German
• Lucille German
• Eleanor R Germano, MD
• Jean-Luc Germany, MD
• Carla Germinaro, M.A. CCC-SLP
• Elizabeth Layne Gernert, OTR/L
• Gena Gerold
• Abigail Joan Tingzon Gerongay, PT
• Dannielle Geronimo
• Michael Paul Gerou, PHARM D

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.