Active NPI
Christopher Lee Ewald, MS, LMFT
- Marriage & Family Therapist
- Elgin, IL
National Provider Identifier
1285032607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166001040
- Practice address
- 1845 Grandstand PL
Elgin, IL 60123-6603 - Phone
- (779) 220-0156
- NPI assigned
- Dec 17, 2014
- Sex
- Male
- 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 | 166001040 | IL | Primary |
Addresses
Primary practice location
1845 Grandstand PL
Elgin, IL 60123-6603
Mailing address
1845 Grandstand PL
Elgin, IL 60123-6603
Phone (779) 220-0156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166001040 | IL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1285032607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 GRANDSTAND PL",
"city": "ELGIN",
"state": "IL",
"postal_code": "601236603",
"telephone_number": "779-220-0156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 GRANDSTAND PL",
"city": "ELGIN",
"state": "IL",
"postal_code": "601236603",
"telephone_number": "779-220-0156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWALD",
"first_name": "CHRISTOPHER",
"middle_name": "LEE",
"credential": "MS, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-17",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166001040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.