Robert James Agnew, LMFT
Individual provider Active NPI Marriage & Family Therapist · Geneva, IL
NPI 1750182531 · NPPES record last updated Mar 19, 2025
Key facts
- NPI
- 1750182531
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 166.001871 (IL)
- Practice address
- 1250 Executive PL Ste 501
Geneva, IL 60134-2482 - Phone
- (331) 254-3464
- NPI assigned
- Mar 19, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166.001871 | IL | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166.001871 | IL | Yes |
Addresses
Primary practice location
1250 Executive PL Ste 501
Geneva, IL 60134-2482
Mailing address
1250 Executive PL Ste 501
Geneva, IL 60134-2482
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All providers in Geneva, IL · Marriage & Family Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.