Soulful RT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

SOULFUL RT

Practice address

444 N Michigan Ave Ste 1200
Chicago, IL 60611-3959

Phone

(312) 985-6196

NPI assigned

May 29, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Raushanah Jackson, PHDNPI 1154529964

Title

Owner

Phone

(312) 985-6196

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.

• Raushanah Jackson, PHD, LMFT

  • Marriage & Family Therapist
  • Chicago, IL
  • NPI 1154529964
  NPD Authorized official

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1598505273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N MICHIGAN AVE STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113959",
            "telephone_number": "312-985-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N MICHIGAN AVE STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113959",
            "telephone_number": "312-985-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULFUL RT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "RAUSHANAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-985-6196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soul to Self Therapy, PLLC
• Anne Conquest Soule, CNM
• Soulective Pelvic Health and Wellness PLLC
• Cia Souleles
• Soulful Nutrition Consulting Inc
• Lioubov Soulii, M.D.,
• Soulreconstruct Psychotherapy
• Soulstice Therapy PLLC
• Soulu
• Soulwork, PLLC

• Marriage & Family Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.