Active NPI
Michele Martin and Associates
- Marriage & Family Therapist
- Chicago, IL
National Provider Identifier
1700273976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166000697
- Legal business name
- MICHELE MARTIN AND ASSOCIATES
- Practice address
- 30 N Michigan Ave
Suite 819
Chicago, IL 60602-3402 - Phone
- (847) 624-2776
- NPI assigned
- Apr 24, 2015
- Last updated
- Apr 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michele Marion Martin, LMFT, PHD
- Title
- Director
- Phone
- (847) 624-2776
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166000697 | IL | Primary |
Addresses
Primary practice location
30 N Michigan Ave
Suite 819
Chicago, IL 60602-3402
Mailing address
537 Sheridan Rd
Apt. 2 South
Evanston, IL 60202-3193
Phone (847) 624-2776
National Provider Directory
National Provider DirectoryLocations
30 N Michigan Ave
Ste 819
Chicago, IL 60602
Phone (847) 416-0909
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Evanston, IL
- NPI 1942404264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429833600000",
"number": "1700273976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 SHERIDAN RD",
"address_2": "APT. 2 SOUTH",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023193",
"telephone_number": "847-624-2776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N MICHIGAN AVE",
"address_2": "SUITE 819",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023402",
"telephone_number": "847-624-2776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELE MARTIN AND ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-24",
"last_updated": "2015-04-24",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "MICHELE",
"authorized_official_middle_name": "MARION",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "847-624-2776",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LMFT, PHD"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166000697",
"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 Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.