Active NPI
Gabriela Cantu
- Mental Health Counselor
- Northbrook, IL
National Provider Identifier
1336663350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 178.004266
- Practice address
- 3100 Dundee Rd Ste 102
Northbrook, IL 60062-2462 - Phone
- (847) 272-3684
- NPI assigned
- Aug 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 178.004266 | IL | Primary |
Addresses
Primary practice location
3100 Dundee Rd Ste 102
Northbrook, IL 60062-2462
Mailing address
3100 Dundee Rd Ste 102
Northbrook, IL 60062-2462
Other names 1
- M Gabriela Caballero Cantu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.004266 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Christian Life Enrichment | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Northbrook, IL
- NPI 1891186383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1336663350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 DUNDEE RD STE 102",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 DUNDEE RD STE 102",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622462",
"telephone_number": "847-272-3684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTU",
"first_name": "GABRIELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-01",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178.004266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "M GABRIELA",
"last_name": "CANTU",
"middle_name": "CABALLERO",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.