Maya Akai Monet Gavin, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.017109 Issued in IL

Practice address

210 N Hammes Ave Ste 205
Joliet, IL 60435-8139

Phone

(815) 725-8144

NPI assigned

Aug 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• G.O.a.L. Mental Wellness Inc.

  • Mental Health Counselor
  • Joliet, IL
  • NPI 1114857224
  NPD
• Joliet Center for Clinical Research, Inc

  • Psychiatry Physician
  • Joliet, IL
  • NPI 1760647226
  NPD (past)

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

{
    "created_epoch": "1628380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1124792668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 TIMBER RIDGE CT",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318552",
            "telephone_number": "630-688-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N HAMMES AVE STE 205",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358139",
            "telephone_number": "815-725-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "MAYA",
        "middle_name": "AKAI MONET",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-08",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.017109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Gates, ATC
• Gateway Foundation Inc.
• Gateway Professional Services, PC
• Rachael W Gathonjia
• Tischelle Gatlin, M.D.
• Travis Andre Gayles, MD, PHD
• GBM Associates Inc (Everything In Sight)
• Janet Gehrig, LCPC
• Melissa Geibel, CPNP
• Michael M Gelbort, PHD

• Mental Health Counselor in Joliet, IL
• Providers in Joliet, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.