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

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: August 30, 2026.

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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

What insurance does Shimon Gendelman accept?

Health plans from Providence Health Plan 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.