Individual provider Active NPI

Carolyn Elaine Gonterman, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1992312706
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC12032 Issued in MD
Practice address
1321 1/2 W Estes Ave Apt 33
Chicago, IL 60626-5409
Phone
(708) 726-5022
NPI assigned
Sep 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC12032 MD Primary

Addresses

Primary practice location

1321 1/2 W Estes Ave Apt 33
Chicago, IL 60626-5409

Mailing address

1321 1/2 W Estes Ave Apt 33
Chicago, IL 60626-5409
Phone (708) 726-5022

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
LC12032MDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1992312706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 1/2 W ESTES AVE APT 33",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606265409",
            "telephone_number": "708-726-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 1/2 W ESTES AVE APT 33",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606265409",
            "telephone_number": "708-726-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONTERMAN",
        "first_name": "CAROLYN",
        "middle_name": "ELAINE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC12032",
            "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 May 2, 2025; 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.