Elizabeth Anne Gassin, M.A., PH.D.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.006687 Issued in IL

Practice address

1 University Ave
Dept of Beh Sci/Onu
Bourbonnais, IL 60914-2345

Phone

(815) 928-5569

NPI assigned

Jun 18, 2010

Last updated

Jun 18, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1548581093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY AVE",
            "address_2": "DEPT OF BEH SCI/ONU",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142345",
            "telephone_number": "815-928-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY AVE",
            "address_2": "DEPT OF BEH SCI/ONU",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142345",
            "telephone_number": "815-928-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASSIN",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.A., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.006687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Gall
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• Ericka Jeannette Garcia, OD
• Maria L Garcia, M.D.
• Michelle Garcia
• Kelsey Elizabeth Geiman, FNP-BC
• Thomas H George, DDS
• Briana Georgelos
• Kelly Ann German, APN
• Gi Partners of Illinois, LLC

• Professional Counselor in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.