NPIMap

Organization Active NPI

Grace Therapy and Wellness Center

  • Marriage & Family Therapist
  • Oak Park, IL
National Provider Identifier
1720758378
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
GRACE THERAPY AND WELLNESS CENTER
Practice address
105 N Oak Park Ave Ste 4C
Oak Park, IL 60301-1364
Phone
(773) 423-8447
NPI assigned
Sep 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Grace Martin, LMFTNPI 1902265655
Title
Founder
Phone
(786) 239-5280

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

105 N Oak Park Ave Ste 4C
Oak Park, IL 60301-1364

Mailing address

105 N Oak Park Ave # 2B
Oak Park, IL 60301-1364
Phone (773) 423-8447

Other practice location 1

53 W Jackson Blvd Ste 604
Chicago, IL 60604-3448
Phone (786) 239-5280

National Provider Directory

National Provider Directory

Locations

105 N Oak Park Ave
Ste 4C
Oak Park, IL 60301
Phone (773) 609-4560

105 N Oak Park Ave
#2B
Oak Park, IL 60301
Phone (773) 342-8447

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1720758378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N OAK PARK AVE # 2B",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011364",
            "telephone_number": "773-423-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N OAK PARK AVE STE 4C",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011364",
            "telephone_number": "773-423-8447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 W Jackson Blvd Ste 604",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606043448",
            "country_code": "US",
            "telephone_number": "786-239-5280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACE THERAPY AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "786-239-5280",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.