Active NPI
Gaea Counseling Centers LLC
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1164123766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- GAEA COUNSELING CENTERS LLC
- Practice address
- 2405 N Sheffield Ave # 189
Chicago, IL 60614-8097 - Phone
- (847) 754-8039
- NPI assigned
- Mar 13, 2023
- Last updated
- Mar 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marie Barnhart
- Title
- Owner
- Phone
- (872) 205-6167
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2405 N Sheffield Ave # 189
Chicago, IL 60614-8097
Mailing address
2405 N Sheffield Ave # 189
Chicago, IL 60614-8097
Phone (847) 754-8039
National Provider Directory
National Provider DirectoryLocations
2405 N Sheffield Ave
#189
Chicago, IL 60614
Phone (847) 754-8039
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678665600000",
"number": "1164123766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 N SHEFFIELD AVE # 189",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606148097",
"telephone_number": "847-754-8039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 N SHEFFIELD AVE # 189",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606148097",
"telephone_number": "847-754-8039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAEA COUNSELING CENTERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-13",
"last_updated": "2023-03-13",
"certification_date": "2023-03-11",
"status": "A",
"authorized_official_last_name": "BARNHART",
"authorized_official_first_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "872-205-6167"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"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 Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.