Active NPI
Tiana Faeth Henderson
- Marriage & Family Therapist
- Palatine, IL
National Provider Identifier
1528815503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1 E Northwest Hwy Ste 201
Palatine, IL 60067-1700 - Phone
- (847) 908-8700
- NPI assigned
- May 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1 E Northwest Hwy Ste 201
Palatine, IL 60067-1700
Mailing address
733 E Independence Dr Apt #5
Palatine, IL 60074
Phone (847) 899-4898
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illuminate Therapy and Wellness, S-Corp | Current | Accepting new patients |
Locations
1 E Northwest Hwy
Ste 201
Palatine, IL 60067
Phone (847) 859-2987
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.
-
- Mental Health Counselor
- Palatine, IL
- NPI 1598398794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1528815503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 E INDEPENDENCE DR APT #5",
"city": "PALATINE",
"state": "IL",
"postal_code": "60074",
"telephone_number": "847-899-4898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 E NORTHWEST HWY STE 201",
"city": "PALATINE",
"state": "IL",
"postal_code": "600671700",
"telephone_number": "847-908-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "TIANA",
"middle_name": "FAETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-06",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palatine, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.