Individual provider Active NPI

Emily Gabelman, LMFT, LCSW

  • Marriage & Family Therapist
  • Chicago, IL
National Provider Identifier
1497107304
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166.001336 Issued in IL
Practice address
1200 N Ashland Ave
Chicago, IL 60622-2259
Phone
(513) 378-9912
NPI assigned
Jul 5, 2016
Last updated
Jul 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33007786A IN
Marriage & Family Therapist 106H00000X 166.001336 IL Primary

Addresses

Primary practice location

1200 N Ashland Ave
Chicago, IL 60622-2259

Mailing address

1200 N Ashland Ave
Chicago, IL 60622-2259
Phone (513) 378-9912

Other practice location 1

100 W Court Ave Ste 102
Jeffersonville, IN 47130-3532
Phone (502) 893-3900 ext. 436

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
33007786AINMDSocial Worker
166.001336ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family & Children's First, Inc Past Accepting new patients
Family and Children's Place 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1497107304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222259",
            "telephone_number": "513-378-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222259",
            "telephone_number": "513-378-9912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Court Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471303532",
            "country_code": "US",
            "telephone_number": "502-893-3900 x436",
            "fax_number": "812-227-3654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABELMAN",
        "first_name": "EMILY",
        "credential": "LMFT, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33007786A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; 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.