Provider Demographics
NPI:1447603543
Name:GASPER, DAVID (LCPC, LMHC, CCMHC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:GASPER
Suffix:
Gender:M
Credentials:LCPC, LMHC, CCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 N LA SALLE ST STE 2100
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-1226
Mailing Address - Country:US
Mailing Address - Phone:224-225-9844
Mailing Address - Fax:
Practice Address - Street 1:203 N LA SALLE ST STE 2100
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-1226
Practice Address - Country:US
Practice Address - Phone:224-225-9844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-13
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.013762101YM0800X
MALMHC10001151101YM0800X
IL180.015324101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL180.015324OtherILLINOIS LCPC LICENSE #
MALMHC10001151OtherMASSACHUSETTS LMHC LICENSE #
IL178.013762OtherILLINOIS LPC LICENSE #