Individual provider Active NPI

Jacquelyn Pfeifer, LMFT

  • Marriage & Family Therapist
  • Chicago, IL
National Provider Identifier
1437683158
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166001266 Issued in IL
Practice address
2117 W Ohio St Apt 1
Chicago, IL 60612-1517
Phone
(312) 687-5431
NPI assigned
Apr 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166001266 IL Primary

Addresses

Primary practice location

2117 W Ohio St Apt 1
Chicago, IL 60612-1517

Mailing address

2117 W Ohio St Apt 1
Chicago, IL 60612-1517
Phone (312) 687-5431

Other practice location 1

1925 S Racine Ave
3R
Chicago, IL 60608-3243
Phone (515) 450-3500

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
166001266ILMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1437683158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 W OHIO ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121517",
            "telephone_number": "312-687-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 W OHIO ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121517",
            "telephone_number": "312-687-5431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1925 S Racine Ave",
            "address_2": "3R",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606083243",
            "country_code": "US",
            "telephone_number": "515-450-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFEIFER",
        "first_name": "JACQUELYN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166001266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.