Samantha Jo Gehrig, MA, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.010676 Issued in IL

Practice address

16504 W 146TH PL
Lockport, IL 60441

Phone

(815) 274-0057

NPI assigned

Sep 27, 2017

Last updated

Jul 21, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Riveredge Hospital Inc

  • Psychiatric Hospital
  • Forest Park, IL
  • NPI 1710070701
  Medicare reassignment NPD

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366951840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16504 W 146TH PL",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604412344",
            "telephone_number": "815-274-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16504 W 146TH PL",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "60441",
            "telephone_number": "815-274-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEHRIG",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.010676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Fuller, PT
• Richard Joseph Galick, BS.,R.PH.
• Brian Gall
• Alexia Gamez, LCPC
• Adriana Danielle Garza, LCSW
• Gentle Path Counseling Services, PLLC
• James M. Gerhard, DDS
• Niloufar Ghazal, DMD
• Cynthia Trombetta Gleason, SPEECH THERAPIST
• God's Guardian Angels Transportation

• Mental Health Counselor in Lockport, IL
• Providers in Lockport, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.