Active NPI
Bushra: Somatic Art Therapy & Expressive Practices PLLC
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1487413563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BUSHRA: SOMATIC ART THERAPY & EXPRESSIVE PRACTICES PLLC
- Practice address
- 680 N Lake Shore Dr Ste 1102313
Chicago, IL 60611-4546 - Phone
- (312) 278-7083
- NPI assigned
- Mar 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Foreman
- Title
- Credentailing
- Phone
- (630) 313-0069
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
680 N Lake Shore Dr Ste 1102313
Chicago, IL 60611-4546
Mailing address
680 N Lake Shore Dr Ste 110
Chicago, IL 60611-4447
Phone (312) 278-7083
National Provider Directory
National Provider DirectoryLocations
230 E Ohio St
Ste 4102313
Chicago, IL 60611
680 N Lake Shore Dr
Ste 1102313
Chicago, IL 60611
Phone (312) 278-7083
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Chicago, IL
- NPI 1659926921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748822400000",
"number": "1487413563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR STE 110",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114447",
"telephone_number": "312-278-7083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR STE 1102313",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114546",
"telephone_number": "312-278-7083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUSHRA: SOMATIC ART THERAPY & EXPRESSIVE PRACTICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-19",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A",
"authorized_official_last_name": "FOREMAN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CREDENTAILING",
"authorized_official_telephone_number": "630-313-0069"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"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 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.