Individual provider Active NPI

Haeun Choi, MA, ALMFT

  • Marriage & Family Therapist
  • Arlington Heights, IL
National Provider Identifier
1104410422
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
208-000889 Issued in IL
Practice address
3411 N Kennicott Ave Ste C
Arlington Heights, IL 60004-7813
Phone
(833) 710-7770
NPI assigned
Feb 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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 208-000889 IL Primary

Addresses

Primary practice location

3411 N Kennicott Ave Ste C
Arlington Heights, IL 60004-7813

Mailing address

3411 N Kennicott Ave Ste C
Arlington Heights, IL 60004-7813
Phone (833) 710-7770

Other practice location 1

307 S Milwaukee Ave Ste 103
Wheeling, IL 60090-5035
Phone (833) 710-7770

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
208-000889ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crosswinds Center for Personal and Professional Development, PLLC CurrentSince Mar 4, 2021 Accepting new patients

Locations

3411 N Kennicott Ave
Ste C
Arlington Heights, IL 60004
Phone (630) 849-8275

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1104410422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 N KENNICOTT AVE STE C",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047813",
            "telephone_number": "833-710-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 N KENNICOTT AVE STE C",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047813",
            "telephone_number": "833-710-7770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 S Milwaukee Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "IL",
            "postal_code": "600905035",
            "country_code": "US",
            "telephone_number": "833-710-7770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "HAEUN",
        "credential": "MA, ALMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "208-000889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.