Organization Active NPI

Michele Martin and Associates

  • Marriage & Family Therapist
  • Chicago, IL
National Provider Identifier
1700273976
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166000697 Issued in IL
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Authorized official

Name
Dr. Michele Marion Martin, LMFT, PHDNPI 1942404264
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.