Individual provider Active NPI

Ema Gavrilovic, LPC

  • Professional Counselor
  • Lake in the Hills, IL
National Provider Identifier
1467066522
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.015908 Issued in IL
Practice address
9241 South Illinois Route 31
Lake in the Hills, IL 60156
Phone
(847) 347-6235
NPI assigned
Sep 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 178.015908 IL Primary

Addresses

Primary practice location

9241 South Illinois Route 31
Lake in the Hills, IL 60156

Mailing address

9241 S Il Route 31
Lake in the Hills, IL 60156-1607
Phone (847) 854-4333

Other practice location 1

29W170 Butterfield Rd Ste 102
Warrenville, IL 60555-2808
Phone (847) 347-6235

Other practice location 2

1118 E Main St Ste 2A
St Charles, IL 60174-2260
Phone (847) 347-6235

Other practice location 3

1305 Wiley Rd Ste 131
Schaumburg, IL 60173-4354
Phone (847) 347-6235

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

LicenseStateTypeSpecialty
178.015908ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Owens & Associates Counseling Therapy Center, LLC Professional Past Accepting new patients
Ask US Counseling Services, LLC. PastSince Dec 27, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1467066522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9241 S IL ROUTE 31",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601561607",
            "telephone_number": "847-854-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9241 SOUTH ILLINOIS ROUTE 31",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "60156",
            "telephone_number": "847-347-6235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29W170 Butterfield Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Warrenville",
            "state": "IL",
            "postal_code": "605552808",
            "country_code": "US",
            "telephone_number": "847-347-6235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1118 E Main St Ste 2A",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601742260",
            "country_code": "US",
            "telephone_number": "847-347-6235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 Wiley Rd Ste 131",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601734354",
            "country_code": "US",
            "telephone_number": "847-347-6235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAVRILOVIC",
        "first_name": "EMA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.015908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.