Mollie Bass, LMFT
Individual provider Active NPI Marriage & Family Therapist · Chicago, IL
NPI 1669015988 · NPPES record last updated Apr 12, 2023
Key facts
- NPI
- 1669015988
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 166001498 (IL)
- Practice address
- 915 N Racine Ave Apt 2SE
Chicago, IL 60642-0008 - Phone
- (206) 999-0482
- NPI assigned
- Oct 18, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166001498 | IL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearten Therapy, PLLC | Marriage & Family Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166001498 | IL | Yes |
Addresses
Primary practice location
915 N Racine Ave Apt 2SE
Chicago, IL 60642-0008
Mailing address
915 N Racine Ave Apt 2SE
Chicago, IL 60642-0008
Phone (206) 999-0482
Other providers in Chicago, IL
- Christine J Bass
- Ethel Ann Bass
- Joseph T. Bass
- Kayla Bass
- Lee Michael Bass
- Murry Alan Bass
- Nicholas Bass
- Jan Bassali
- Bassam Osman, MD, SC, LTD
- Bassell Nurse Practitioner Services, LLC
All providers in Chicago, IL · Marriage & Family Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.