Active NPI
Ema Gavrilovic, LPC
- Professional Counselor
- Lake in the Hills, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.015908
- 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
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 |
|---|---|---|---|---|
| Professional Counselor | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 178.015908 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owens & Associates Counseling Therapy Center, LLC | Professional | Past | Accepting new patients |
| Ask US Counseling Services, LLC. | Past | 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.
-
- Adult Mental Health Clinic/Center
- Schaumburg, IL
- NPI 1407443641
-
- Counselor
- Schaumburg, IL
- NPI 1962696054
Professional
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.