Gabriella Gamboa

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1414 Main St
Melrose Park, IL 60160-3902

Phone

(708) 681-0073

Fax

(708) 681-3958

NPI assigned

Jul 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Gabriella Gutierrez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1528791639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 S KENNETH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324725",
            "telephone_number": "872-769-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 MAIN ST",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601603902",
            "telephone_number": "708-681-0073",
            "fax_number": "708-681-3958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1431 N Claremont Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606221702",
            "country_code": "US",
            "telephone_number": "312-633-5890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBOA",
        "first_name": "GABRIELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELLA",
            "last_name": "GUTIERREZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mohammad A Gafoor, M.D.
• Julia Gala, BA
• Mark Allen Galban, LCSW
• Ashley Galeno
• Antonia Gallanis, BS
• Aliya Garcia, BS
• Antonio Angel Garcia, MS, LAT, ATC
• Christine Garcia
• Claudia Garcia
• Natasha Alexandra Garcia, DMD

• Mental Health Counselor in Melrose Park, IL
• Providers in Melrose Park, 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 Apr 15, 2026; 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.