Individual provider Active NPI

Brandon Michael Arbuckle, LMFT

  • Marriage & Family Therapist
  • Chicago, IL
National Provider Identifier
1740459577
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001018 Issued in IL
Practice address
1011 W Wellington Ave Ste 210
Chicago, IL 60657-7187
Phone
(312) 547-1707
Fax
(773) 423-8444
NPI assigned
Feb 26, 2008
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMT 0000000642 TN
Marriage & Family Therapist 106H00000X 001018 IL Primary

Addresses

Primary practice location

1011 W Wellington Ave Ste 210
Chicago, IL 60657-7187

Mailing address

1011 W Wellington Ave Ste 210
Chicago, IL 60657-7187
Phone (312) 547-1707

Other practice location 1

747 N LaSalle St.
Suite 700
Chicago, IL 60654
Phone (312) 547-1707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250627000950 IL Practitioner - Marriage and Family Therapist 8628580362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. David Rakofsky PCGroup PAC ID 6103001797, 10 clinicians

Practice addresses (Care Compare)

666 Dundee Rd
Suite 708
Northbrook, IL 60062-2734
Phone (312) 384-1940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMT 0000000642TNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. David Rakofsky PC CurrentSince Apr 19, 2025 Accepting new patients

Locations

1011 W Wellington Ave
Ste 210
Chicago, IL 60657
Phone (312) 682-0958

666 Dundee Rd
Ste 706
Northbrook, IL 60062
Phone (312) 809-6911

666 Dundee Rd
Ste 708
Northbrook, IL 60062
Phone (312) 900-8642

1950 N Stemmons Fwy
Ste 5010
Dallas, TX 75207

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": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1740459577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W WELLINGTON AVE STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577187",
            "telephone_number": "312-547-1707",
            "fax_number": "773-423-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W WELLINGTON AVE STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577187",
            "telephone_number": "312-547-1707",
            "fax_number": "773-423-8444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "747 N LaSalle St.",
            "address_2": "Suite 700",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60654",
            "country_code": "US",
            "telephone_number": "312-547-1707",
            "fax_number": "773-423-8444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARBUCKLE",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-26",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "LMT 0000000642",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "001018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.