Organization Active NPI

Bushra: Somatic Art Therapy & Expressive Practices PLLC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1487413563
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Jun 2, 2025

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.