Individual provider Active NPI

Madison Rose Rychtanek, LPC, ATR-P

  • Art Therapist
  • Arlington Heights, IL
National Provider Identifier
1336989532
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
23-508 Issued in IL
Practice address
3115 N Wilke Rd Ste Hio
Arlington Heights, IL 60004-1400
Phone
(847) 975-5598
NPI assigned
May 28, 2024
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 178.020049 IL
Art Therapist 221700000X 23-508 IL Primary

Addresses

Primary practice location

3115 N Wilke Rd Ste Hio
Arlington Heights, IL 60004-1400

Mailing address

1041 Autumn Dr
Antioch, IL 60002-2413
Phone (224) 545-9411

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

LicenseStateTypeSpecialty
178.020049ILMDCounseling Psychologist
23-508ILMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Tree House Center for Growth and Learning CurrentSince Jul 21, 2024 Accepting new patients

Locations

3115 N Wilke Rd
Ste Hio
Arlington Heights, IL 60004
Phone (224) 545-3146

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1336989532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 AUTUMN DR",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600022413",
            "telephone_number": "224-545-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 N WILKE RD STE HIO",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041400",
            "telephone_number": "847-975-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYCHTANEK",
        "first_name": "MADISON",
        "middle_name": "ROSE",
        "credential": "LPC, ATR-P",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IL",
            "license": "178.020049",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "IL",
            "license": "23-508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.