Individual provider Active NPI

Gabrielle Thibodeaux Abogado, LCPC

  • Mental Health Counselor
  • Naperville, IL
National Provider Identifier
1235651464
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.011030 Issued in IL
Practice address
1967 Lancaster CT Apt 1
Naperville, IL 60565-2057
Phone
(773) 354-6244
NPI assigned
Jul 10, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180.011030 IL
Mental Health Counselor 101YM0800X 180.011030 IL Primary
Professional Counselor 101YP2500X 180.011030 IL
School Counselor 101YS0200X 1899529 IL

Addresses

Primary practice location

1967 Lancaster CT Apt 1
Naperville, IL 60565-2057

Mailing address

1967 Lancaster CT Apt 1
Naperville, IL 60565-2057
Phone (773) 354-6244

Other practice location 1

1505 Georgia Ct Apt 201
Naperville, IL 60540-5061
Phone (773) 354-6244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.011030ILMDMental Health Counselor
1899529ILMDSchool Counselor

NPI Registry JSON

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235651464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1967 LANCASTER CT APT 1",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605652057",
            "telephone_number": "773-354-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1967 LANCASTER CT APT 1",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605652057",
            "telephone_number": "773-354-6244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 Georgia Ct Apt 201",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605405061",
            "country_code": "US",
            "telephone_number": "773-354-6244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABOGADO",
        "first_name": "GABRIELLE",
        "middle_name": "THIBODEAUX",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2022-07-21",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.011030",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.011030",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.011030",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "IL",
            "license": "1899529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.