Individual provider Active NPI

Emily Nikolaus Buettner, LMFT

  • Marriage & Family Therapist
  • Chicago, IL
National Provider Identifier
1730651944
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166001246 Issued in IL
Practice address
155 N Michigan Ave Ste 202
Chicago, IL 60601-7940
Phone
(312) 278-3054
Fax
(312) 722-6938
NPI assigned
Dec 28, 2018
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166001246 IL Primary

Addresses

Primary practice location

155 N Michigan Ave Ste 202
Chicago, IL 60601-7940

Mailing address

915 N Racine Ave Apt 2SE
Chicago, IL 60642-0008
Phone (262) 408-0645

Other practice location 1

915 N Racine Ave Apt 2Se
Chicago, IL 60642-0008
Phone (262) 408-0645

Other names 1

  • Emily Marie Nikolaus Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
166001246ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearten Therapy, PLLC Marriage & Family Therapist CurrentSince Apr 16, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1730651944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N RACINE AVE APT 2SE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606420008",
            "telephone_number": "262-408-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017940",
            "telephone_number": "312-278-3054",
            "fax_number": "312-722-6938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 N Racine Ave Apt 2Se",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606420008",
            "country_code": "US",
            "telephone_number": "262-408-0645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUETTNER",
        "first_name": "EMILY",
        "middle_name": "NIKOLAUS",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166001246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "NIKOLAUS",
            "middle_name": "MARIE",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 14, 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.