SHIMON ARIEL GENDELMAN LCPC
NPI 1184378911
Counselor - Professional in Chicago, IL

Q: What is Shimon Gendelman's NPI number?

The NPI number for Shimon Gendelman is 1184378911. It was assigned to this individual provider in the NPPES registry on February 10, 2022.

Q: What is Shimon Gendelman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Shimon Gendelman was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 10, 2022PECOS Enrolled

6550 N FAIRFIELD AVE, CHICAGO, IL 60645(773) 899-6783 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Shimon Ariel Gendelman Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIMON ARIEL GENDELMAN LCPC (NPI 1184378911) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.014166) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184378911

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameSHIMON ARIEL GENDELMANCredential: LCPC

Location Address6550 N FAIRFIELD AVEChicago, IL 60645-4411

Mailing Address6550 N Fairfield AveChicago, IL 60645-4411 · (773) 899-6783

Phone(773) 899-6783

Sole ProprietorYes

Enumeration DateFebruary 10, 2022

Last NPPES UpdateJanuary 9, 2024

NPPES CertifiedJanuary 9, 2024

✔ NPI 1184378911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 180.014166

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 180014166 (IL)

6550 N FAIRFIELD AVE, Chicago, IL 60645

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shimon Ariel Gendelman Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shimon Gendelman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA

1,197 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Indiana and Missouri enrollments
417 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shimon Gendelman's NPI number?

The NPI number for Shimon Gendelman is 1184378911. It was assigned to this individual provider in the NPPES registry on February 10, 2022.

Where is Shimon Gendelman located?

Shimon Gendelman practices at 6550 N Fairfield Ave, Chicago, IL 60645. The listed phone number is (773) 899-6783.

What is Shimon Gendelman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shimon Gendelman enrolled in Medicare?

Yes. Shimon Gendelman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shimon Gendelman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shimon Gendelman reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shimon Gendelman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shimon Gendelman accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Health list Shimon Gendelman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shimon Gendelman was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.