Individual provider Active NPI

Patrice Karen Quehl, M.A., LMFT, LCSW

  • Marriage & Family Therapist
  • Chicago, IL
National Provider Identifier
1205046521
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166.000542 Issued in IL
Practice address
1 E Superior St Ste 500
Chicago, IL 60611-2507
Phone
(312) 208-5620
NPI assigned
May 23, 2007
Last updated
Mar 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149-008175 IL
Marriage & Family Therapist 106H00000X 166.000542 IL Primary

Addresses

Primary practice location

1 E Superior St Ste 500
Chicago, IL 60611-2507

Mailing address

930 W Ainslie St Apt 1
Chicago, IL 60640-3820
Phone (312) 208-5620

Other practice location 1

708 Church St
Suite 225
Evanston, IL 60201-3875
Phone (312) 208-5620

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
149-008175ILMDClinical Social Worker
166.000542ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Private Practice of P Quehl Clinical CurrentSince May 17, 2020 Accepting new patients

Locations

1 E Superior St
Ste 500
Chicago, IL 60611
Phone (312) 208-5620

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1205046521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 W AINSLIE ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403820",
            "telephone_number": "312-208-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E SUPERIOR ST STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112507",
            "telephone_number": "312-208-5620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 Church St",
            "address_2": "Suite 225",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602013875",
            "country_code": "US",
            "telephone_number": "312-208-5620",
            "fax_number": "773-278-0436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUEHL",
        "first_name": "PATRICE",
        "middle_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "M.A., LMFT, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-008175",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.000542",
            "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 Mar 28, 2018; 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.