Maxine Elizabeth Nusinow, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.001785 Issued in IL

Practice address

804 Oakleaf Ter
Northbrook, IL 60062-3712

Phone

(847) 529-0686

NPI assigned

Aug 2, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edgewood Clinical Services, P.C.

  • Psychologist
  • Naperville, IL
  • NPI 1295914646
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1336821925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 OAKLEAF TER",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623712",
            "telephone_number": "847-529-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 OAKLEAF TER",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623712",
            "telephone_number": "847-529-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSINOW",
        "first_name": "MAXINE",
        "middle_name": "ELIZABETH",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Marrie Nowikowski, RBT-18-65907
• Nuance Health and Wellness Medical Spa
• Nucare Integrative Health Center, PC
• Kathleen Marie Nugent, PH.D.
• Mario Nunez
• Nutrition & Health Consultants, LTD.
• Kathryn Marie O'Brien
• Helen Lufang O'Connor
• Jane Ann O'Connor, RN
• Deeann R O'Donnell, PHARMD

• Marriage & Family Therapist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.