Samanthia Gaspar

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.012719 Issued in IL

Practice address

1010 Jorie Blvd Ste 200
Oak Brook, IL 60523-2240

Phone

(630) 873-2275

Fax

(630) 873-0420

NPI assigned

Feb 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1275166803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 JORIE BLVD STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 JORIE BLVD STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232240",
            "telephone_number": "630-873-2275",
            "fax_number": "630-873-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPAR",
        "first_name": "SAMANTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.012719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ERC/INSIGHT BEHAVIORAL HEALTH",
            "identifier": "201543752",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samanthia.gaspar@ercinsight.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1010 Jorie Blvd Ste 200",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605232240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary L. Gannon, M.D.,C.A.D.C.
• Jessica L Garcia, MD
• Kelly Suzanne Garcia, BSN, RN, FNP-BC
• Isaiah V Gardiner
• Beth Gasaway, LCPC
• Gavin Scoliosis and Spine Center, LLC
• Thomas Gavin, CO/LO
• Tanja Gavrilovic, DNP,APRN,CNP,PMHNPBC
• Genesis Orthopedics & Sports Medicine LLC
• Ravi George, D.O.

• Professional Counselor in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.