Active NPI
Beryl-Denise Aguilera, LMFTA
- Marriage & Family Therapist
- Chicago, IL
National Provider Identifier
1144675190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 208.000429
- Practice address
- 321 N Clark St
Suite 5010
Chicago, IL 60654-4714 - Phone
- (312) 445-6423
- Fax
- (312) 445-6501
- NPI assigned
- Apr 27, 2016
- Last updated
- Apr 27, 2016
- 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 | 208.000429 | IL | Primary |
Addresses
Primary practice location
321 N Clark St
Suite 5010
Chicago, IL 60654-4714
Mailing address
321 N Clark St
Suite 5010
Chicago, IL 60654-4714
Phone (312) 445-6423
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 |
|---|---|---|---|
| 208.000429 | IL | MD | Marriage & Family Therapist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461715200000",
"number": "1144675190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 N CLARK ST",
"address_2": "SUITE 5010",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606544714",
"telephone_number": "312-445-6423",
"fax_number": "312-445-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N CLARK ST",
"address_2": "SUITE 5010",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606544714",
"telephone_number": "312-445-6423",
"fax_number": "312-445-6501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUILERA",
"first_name": "BERYL-DENISE",
"credential": "LMFTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-27",
"last_updated": "2016-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "208.000429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.