At Peace Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AT PEACE THERAPY PLLC

Practice address

509 W Roscoe St Apt 1W
Chicago, IL 60657-3542

Phone

(312) 898-1289

NPI assigned

Dec 5, 2022

Last updated

Dec 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra Buecker SpearsNPI 1558871483

Title

Owner

Phone

(312) 898-1289

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Buecker Spears

  • Social Worker
  • Chicago, IL
  • NPI 1558871483
  NPD Authorized official
• Beth Melewski

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1801664529
  NPD (past)
• Daniel Shansky

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1881498046
  NPD (past)

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1083324651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W ROSCOE ST APT 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W ROSCOE ST APT 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573542",
            "telephone_number": "312-898-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT PEACE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "BUECKER SPEARS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-898-1289"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.