Joshua Smith Hetherington, MSMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166-000557 Issued in IL

Practice address

1770 W Berteau Ave
Chicago, IL 60613-1849

Phone

(773) 791-0469

NPI assigned

Feb 26, 2007

Last updated

Apr 26, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Northside Center for Relationship Counseling

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1316747538

  Marriage & Family Therapist

  NPD Authorized official
• Northside Center for Relationship Counseling

  • Marriage & Family Therapist
  • Chicago, IL
  • NPI 1720341993
  NPD

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1114053766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 W NORTH SHORE AVE",
            "address_2": "APT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264664",
            "telephone_number": "773-791-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 W BERTEAU AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131849",
            "telephone_number": "773-791-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETHERINGTON",
        "first_name": "JOSHUA",
        "middle_name": "SMITH",
        "name_prefix": "Mr.",
        "credential": "MSMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-003937",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166-000557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert William Hessberger, D.D.S.
• Isabelle Rose Hesse
• Ashley A Hester, RBT17-46486
• Nancy Lydia Hester, M.ED CCC-SPL
• Victoria J Hester
• Zoe Hetherington
• Grace Hetke
• Andrea Jean Hettel
• Kristin Hettich, MSW, LSW
• Austin Hettinga

• Marriage & Family Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.