Amanda Hofbauer

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.001233 Issued in IL

Practice address

3139 N Lincoln Ave Ste 202
Chicago, IL 60657-3122

Phone

(312) 857-6270

NPI assigned

Aug 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda Husnick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Reclaim Therapy LLC

  • Marriage & Family Therapist
  • Boulder, CO
  • NPI 1548909708
  NPD Authorized official

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1689129405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 N KEDZIE BLVD",
            "address_2": "#3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472701",
            "telephone_number": "630-740-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3139 N LINCOLN AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573122",
            "telephone_number": "312-857-6270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 E Lake St",
            "address_2": "Suite 222",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606015959",
            "country_code": "US",
            "telephone_number": "312-428-5937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2648 N Washtenaw Ave # 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606471836",
            "country_code": "US",
            "telephone_number": "312-857-6270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFBAUER",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "208.000479",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HUSNICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Frank Hoentjen, MD PHD
• Kelsey Rose Hoeper, LPC
• Alexandra Hoerr
• Stephen Hoesley, D.C.
• Daria MP Hoey, LCSW
• Jennifer Elena Hofer, MD
• Kristin Hofer, DPT
• Molly Katherine Hoferle, M.S., CCC-SLP
• James Michael Hofert, MAPCC
• Frederick Hoff, MD

• 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 Jul 6, 2020; 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.