Provider Demographics
NPI:1073722302
Name:CAROL A. GILBERT AND ASSOCIATES, LLC
Entity Type:Organization
Organization Name:CAROL A. GILBERT AND ASSOCIATES, LLC
Other - Org Name:CAROL A. GILBERT, MA, LCPC, NCC, MN, RN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCPC, NCC, MN, R
Authorized Official - Phone:847-212-8305
Mailing Address - Street 1:241 GOLF MILL CTR
Mailing Address - Street 2:SUITE 328
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-1224
Mailing Address - Country:US
Mailing Address - Phone:847-212-8305
Mailing Address - Fax:847-635-5621
Practice Address - Street 1:241 GOLF MILL CTR
Practice Address - Street 2:SUITE 328
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-1224
Practice Address - Country:US
Practice Address - Phone:847-212-8305
Practice Address - Fax:847-635-5621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1396789251OtherINDIVIDUAL NPI NUMBER