Active NPI
Mary Lou Friedman, LMFT
- Marriage & Family Therapist
- Oak Park, IL
National Provider Identifier
1083081178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166.000834
- Practice address
- 1103 Westgate St Ste 200
Oak Park, IL 60301-1022 - Phone
- (708) 638-0978
- NPI assigned
- Aug 25, 2015
- Last updated
- Aug 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166.000834 | IL | Primary |
Addresses
Primary practice location
1103 Westgate St Ste 200
Oak Park, IL 60301-1022
Mailing address
231 Clinton Ave # 3N
Oak Park, IL 60302-3189
Phone (708) 638-0978
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
| License | State | Type | Specialty |
|---|---|---|---|
| 166.000834 | IL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440460800000",
"number": "1083081178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 CLINTON AVE # 3N",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603023189",
"telephone_number": "708-638-0978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 WESTGATE ST STE 200",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011022",
"telephone_number": "708-638-0978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "MARY LOU",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-25",
"last_updated": "2015-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166.000834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
- Freeberg Chiropractic Center S.C.
- Thomas Michael Freeberg, DC
- Latanya Marie Freeman, RN
- Fresenius Medical Care River Forest, LLC (Fresenius Medical Care Oak Park)
- Jamie Friedman, MS OTR/L
- Jereme Froehlich, CRNA
- Jennifer C Froemel, M.A., L.C.P.C.
- John Brian Fuente, LPC
- Fuller Health Group SC
- Brian Jay Fuller, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.