Individual provider Active NPI

Leah Watson Fishbein, LMFT

  • Marriage & Family Therapist
  • Riverwoods, IL
National Provider Identifier
1013623206
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166001617 Issued in IL
Practice address
302 Saunders Rd Ste 200
Riverwoods, IL 60015-3897
Phone
(906) 474-5143
NPI assigned
Jan 30, 2023
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166001617 IL Primary

Addresses

Primary practice location

302 Saunders Rd Ste 200
Riverwoods, IL 60015-3897

Mailing address

302 Saunders Rd Ste 200
Riverwoods, IL 60015-3897
Phone (301) 437-6353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
166001617ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunpath Psychotherapy, PLLC Marriage & Family Therapist Current Accepting new patients

Locations

3717 N Ravenswood Ave
Ste 239
Chicago, IL 60613
Phone (301) 437-6353

302 Saunders Rd
Ste 200
Riverwoods, IL 60015
Phone (651) 315-3410

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1013623206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 SAUNDERS RD STE 200",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600153897",
            "telephone_number": "301-437-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SAUNDERS RD STE 200",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600153897",
            "telephone_number": "906-474-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHBEIN",
        "first_name": "LEAH",
        "middle_name": "WATSON",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166001617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverwoods, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.