Active NPI
Theresa Burkhart, LMFT
- Marriage & Family Therapist
- Skokie, IL
National Provider Identifier
1326567470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166.001134
- Practice address
- 10024 Skokie Blvd Ste 211
Skokie, IL 60077-9944 - Phone
- (224) 592-0570
- NPI assigned
- Sep 10, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 166.001134 | IL | Primary |
Addresses
Primary practice location
10024 Skokie Blvd Ste 211
Skokie, IL 60077-9944
Mailing address
10024 Skokie Blvd
Suite 211
Skokie, IL 60077
Phone (224) 592-0570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033637293 | Other | IL | BCBS |
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 |
|---|---|---|---|
| 166.001134 | IL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505260800000",
"number": "1326567470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10024 SKOKIE BLVD",
"address_2": "SUITE 211",
"city": "SKOKIE",
"state": "IL",
"postal_code": "60077",
"telephone_number": "224-592-0570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10024 SKOKIE BLVD STE 211",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600779944",
"telephone_number": "224-592-0570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKHART",
"first_name": "THERESA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-10",
"last_updated": "2017-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166.001134",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1033637293",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.