NPIMap

Organization Active NPI

Primrose Family Therapy PLLC

  • Clinical Social Worker
  • Elgin, IL
National Provider Identifier
1043071897
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PRIMROSE FAMILY THERAPY PLLC
Practice address
465 Park St
Elgin, IL 60120-4488
Phone
(815) 822-8668
NPI assigned
Jan 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Mrs. Cheyenne Leigh Grace, LCSWNPI 1487253894
Title
Sole Provider
Phone
(815) 822-8668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

465 Park St
Elgin, IL 60120-4488

Mailing address

465 Park St
Elgin, IL 60120-4488
Phone (815) 822-8668

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1043071897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 PARK ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204488",
            "telephone_number": "815-822-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 PARK ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204488",
            "telephone_number": "815-822-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMROSE FAMILY THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "CHEYENNE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "SOLE PROVIDER",
        "authorized_official_telephone_number": "815-822-8668",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.