Organization Active NPI

Northstar Therapy in Northbrook

  • Marriage & Family Therapist
  • Chicago, IL
National Provider Identifier
1619699287
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
NORTHSTAR THERAPY IN NORTHBROOK
Practice address
1021 N Wood St Apt 2
Chicago, IL 60622-4349
Phone
(815) 276-1224
NPI assigned
Sep 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Mrs. Caitlyn Dawn Dolins, LMFTNPI 1275184012
Title
Owner & Operator
Phone
(815) 276-1224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1021 N Wood St Apt 2
Chicago, IL 60622-4349

Mailing address

1021 N Wood St Apt 2
Chicago, IL 60622-4349
Phone (815) 276-1224

National Provider Directory

National Provider Directory

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": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1619699287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N WOOD ST APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224349",
            "telephone_number": "815-276-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 N WOOD ST APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224349",
            "telephone_number": "815-276-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR THERAPY IN NORTHBROOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "DOLINS",
        "authorized_official_first_name": "CAITLYN",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER & OPERATOR",
        "authorized_official_telephone_number": "815-276-1224",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "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 Sep 12, 2022; 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.