Active NPI
Stephanie Nelson-Gerhardt, M.S.
- Marriage & Family Therapist
- Geneva, IL
National Provider Identifier
1730306390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166.000746
- Practice address
- 1250 Executive PL
The 500 Building
Geneva, IL 60134-3807 - Phone
- (630) 232-7457
- Fax
- (630) 232-7567
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166.000746 | IL | Primary |
Addresses
Primary practice location
1250 Executive PL
The 500 Building
Geneva, IL 60134-3807
Mailing address
219 W. Cortland Center Rd.
Cortland, IL 60112
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166.000746 | IL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228176000000",
"number": "1730306390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 W. CORTLAND CENTER RD.",
"city": "CORTLAND",
"state": "IL",
"postal_code": "60112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 EXECUTIVE PL",
"address_2": "THE 500 BUILDING",
"city": "GENEVA",
"state": "IL",
"postal_code": "601343807",
"telephone_number": "630-232-7457",
"fax_number": "630-232-7567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON-GERHARDT",
"first_name": "STEPHANIE",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2008-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166.000746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.