Active NPI
Gina M Abbeduto, LCPC
- Counselor
- Minooka, IL
National Provider Identifier
1477649028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 314 N. Osceola
Minooka, IL 60447-8768 - Phone
- (815) 521-9496
- Fax
- (815) 521-9496
- NPI assigned
- Oct 4, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | IL | Primary |
Addresses
Primary practice location
314 N. Osceola
Minooka, IL 60447-8768
Mailing address
P.O. Box 404
314 N. Osceola
Minooka, IL 60447-0404
Phone (815) 521-9496
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 |
|---|---|---|---|
| 180-004185 | IL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477649028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 404",
"address_2": "314 N. OSCEOLA",
"city": "MINOOKA",
"state": "IL",
"postal_code": "604470404",
"telephone_number": "815-521-9496",
"fax_number": "815-521-9496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 N. OSCEOLA",
"city": "MINOOKA",
"state": "IL",
"postal_code": "604478768",
"telephone_number": "815-521-9496",
"fax_number": "815-521-9496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBEDUTO",
"first_name": "GINA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minooka, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.