Elizabeth Gaddis, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178012484 Issued in IL

Practice address

236 S Washington St Ste 212
Naperville, IL 60540-6698

Phone

(630) 243-5385

NPI assigned

Jan 30, 2017

Last updated

Aug 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Life Endeavors Therapy PLLC

  • Community/Behavioral Health Agency
  • Naperville, IL
  • NPI 1568158715
  NPD Authorized official

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1194262063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 DORSET AVE",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605436056",
            "telephone_number": "630-701-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 S WASHINGTON ST STE 212",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406698",
            "telephone_number": "630-243-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDIS",
        "first_name": "ELIZABETH",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180012677",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178012484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa L Furto, PT
• Rebecca Gaare, PTA
• Carlos Angel Gabler
• Lauren Elisabeth Gabrys
• Elizabeth Gacek
• Rebecca Anne Gadomski, LSW, LCSW
• Michael Joseph Gaffud, M.D.
• Jennifer Brown Gagesch, AU.D.
• Allison Gajownik
• Alexandra Gal, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.