Individual provider Active NPI

Meghan Grzetich, LMFT

  • Marriage & Family Therapist
  • Joliet, IL
National Provider Identifier
1619267259
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166000822 Issued in IL
Practice address
2728 Caton Farm Rd
Joliet, IL 60435-1309
Phone
(815) 714-8847
NPI assigned
Apr 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X 166000822 IL Primary

Addresses

Primary practice location

2728 Caton Farm Rd
Joliet, IL 60435-1309

Mailing address

2728 Caton Farm Rd
Joliet, IL 60435-1309
Phone (815) 714-8847

Other practice location 1

1150 Essington Rd
Joliet, IL 60435
Phone (815) 823-8460

Other practice location 2

1755 Park St
Suite 300
Naperville, IL 60563-4861
Phone (779) 279-8287

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

State licenses

LicenseStateTypeSpecialty
166000822ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MGMT Therapeutic Services CurrentSince Sep 5, 2021 Accepting new patients
The Sykes Group, LTD Past Accepting new patients

Locations

2728 Caton Farm Rd
Joliet, IL 60435
Phone (815) 714-8847

23909 W Renwick Rd
Ste 115
Plainfield, IL 60544
Phone (815) 714-8847

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1302912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1619267259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 CATON FARM RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351309",
            "telephone_number": "815-714-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 CATON FARM RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351309",
            "telephone_number": "815-714-8847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 Essington Rd",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "60435",
            "country_code": "US",
            "telephone_number": "815-823-8460",
            "fax_number": "815-823-8461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1755 Park St",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605634861",
            "country_code": "US",
            "telephone_number": "779-279-8287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRZETICH",
        "first_name": "MEGHAN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-16",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.