Active NPI
Patrice Karen Quehl, M.A., LMFT, LCSW
- Marriage & Family Therapist
- Chicago, IL
National Provider Identifier
1205046521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166.000542
- 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, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 149-008175 | IL | MD | Clinical Social Worker |
| 166.000542 | IL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Private Practice of P Quehl | Clinical | Current | 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.