Elizabeth Furbish

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1811 W North Ave Ste 402
Chicago, IL 60622-0204

Phone

(312) 561-4393

NPI assigned

Jun 26, 2023

Sex

Female

Sole proprietor

No

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

Mental Health Counselor

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sage Therapy Chicago, PLLCGroup PAC ID 2163945254, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sage Therapy Chicago, PLLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1376154302
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1356027296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 W BLOOMINGDALE AVE APT 4B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606477306",
            "telephone_number": "617-460-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 W NORTH AVE STE 402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606220204",
            "telephone_number": "312-561-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURBISH",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyrell Funkhouser, MS, OTR/L, CHT, MBA
• Anna Funsten
• Abbey Fuqua
• Gordon Andrew Fuqua, M.D.
• Paula B Fuqua, M.D.
• R Scott Furda, PSYD
• Nancy L Furey, MD
• Vicki Marie Furey, MS, CCC-SLP
• Warren W Furey, M.D.
• Kira Sage Levine Furie, MD

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.