MS. SAMANTHA JO GEHRIG (NPI# 1366951840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366951840 |
| Entity Type | Individual |
| Full Name | MS. SAMANTHA JO GEHRIG |
| Credential | MA, LCPC |
| Practice Address |
16504 W 146th Pl Lockport IL 60441 |
| Mailing Address |
16504 W 146th Pl Lockport IL 60441-2344 |
| Practice Telephone | (815) 274-0057 |
| Mailing Telephone | 8152740057 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
180.010676 | IL | Behavioral Health & Social Service Providers |
| Street Address |
16504 W 146TH PL |
| City | LOCKPORT |
| State | IL |
| Zip Code | 60441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275939415 | Walid Habbal | Dentist | 12612 S. Harlem Ave, Palos Heights, IL 60441 | 2014-11-17 |
| 1205240975 | Angelica Wujcik | Chiropractor | 420 Summit Drive, Lockport, IL 60441 | 2014-06-20 |
| 1720418916 | Melissa Obrien | Dietitian, Registered | 16221 W 159th St Ste 102, Lockport, IL 60441 | 2013-11-25 |
| 1033467535 | Trinity Services Inc. | Clinic/Center | 1017 S State St., Lockport, IL 60441 | 2012-08-15 |
| 1013219427 | Christopher David Baran | Nurse Anesthetist, Certified Registered | 1114 East Treeline Drive, Lockport, IL 60441 | 2010-11-18 |
| 1871736868 | Advanced Family Dental & Chiropractic of Lockport PC | Dentist | 730 South Washington St, Lockport, IL 60441 | 2009-04-07 |
| 1922292432 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 16241 South Farrell Rd, Lockport, IL 60441 | 2007-08-29 |
| 1407979438 | Joanne Adel Nasra | Developmental Therapist | 16136 Bent Grass Drive, Lockport, IL 60441 | 2007-04-06 |
| 1497800536 | Patrick Francis Healy | Dentist | 916 7th St, Lockport, IL 60441 | 2007-01-25 |
| 1043317282 | Paul Frederic Edelson | Pediatrics | 16622 159th St, Ste 1a, Lockport, IL 60441 | 2006-09-20 |
| Find all providers in zip 60441 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235750035 | Veronica Marvan | Counselor | 16810 Swift Arrow Dr, Lockport, IL 60441-4377 | 2020-05-03 |
| 1528536752 | Megan Hart Fitzgerald | Counselor | 41 Main St Ste 201, Lockport, NY 14094-3662 | 2018-11-06 |
| 1902022478 | Amanda Marie Honan | Counselor | 6523 Sheetram Rd, Lockport, NY 14094-7962 | 2007-04-17 |
| 1275667289 | Kathryn Burkhardt Lipkin | Counselor | 1022 Macgregor Rd, Lockport, IL 60441-2219 | 2007-03-14 |
| 1679608103 | Eugene Domenico | Counselor | Market Street, Bewley Building Suite #437, Lockport, NY 14094 | 2007-02-23 |
| 1518502574 | Sierra Clark | Counselor | 300 Bewley Building, Lockport, NY 14094-2943 | 2019-11-14 |
| 1457996530 | Brian Gangloff | Counselor | 300 Bewley Building, Lockport, NY 14094-2943 | 2019-11-12 |
| 1386118529 | Zach Glowacki | Counselor | 66 Stevens St, Lockport, NY 14094-4230 | 2019-01-21 |
| 1861964603 | Bonnie Sue Birkmeyer | Counselor | 66 Stevens St, Lockport, NY 14094-4230 | 2018-12-18 |
| 1770089393 | Krysta Burkard | Counselor | 6395 Old Niagara Rd, Lockport, NY 14094-1421 | 2018-04-03 |
| Find all providers in LOCKPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.