Self Made Art Therapy LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SELF MADE ART THERAPY LLC

Practice address

41W260 Sylvan Dr
Elburn, IL 60119-9500

Phone

(310) 800-3271

NPI assigned

Jun 27, 2023

Last updated

Sep 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alyssa Steinke, LMFTNPI 1760885230

Title

LMFT/Owner

Phone

(310) 800-3271

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alyssa Steinke

  • Marriage & Family Therapist
  • Long Beach, CA
  • NPI 1760885230
  NPD Authorized official

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1538845151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41W260 SYLVAN DR",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601199500",
            "telephone_number": "310-800-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41W260 SYLVAN DR",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601199500",
            "telephone_number": "310-800-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF MADE ART THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "STEINKE",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "LMFT/OWNER",
        "authorized_official_telephone_number": "310-800-3271",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert B Davidson DDS PC
• Kirstie Ruckoldt, LCSW
• Jean Ryan-Meyers, LCSW
• Kristy Saar, M.A.
• Michael James Schuiling, DDS
• Shamrock RX, Inc. (Shamrock Specialty Rx)
• Kevin Paul Shimer
• Tracie Loriece Sipple, PT
• Gregory Sperry, DPT
• Lauren Renee Steers

• Adult Mental Health Clinic/Center in Elburn, IL
• Providers in Elburn, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.