Organization Active NPI

Art Therapy Studio Chicago LTD.

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1770915811
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180005785 Issued in IL
Legal business name
ART THERAPY STUDIO CHICAGO LTD.
Practice address
1579 N Milwaukee Ave
Suite 210
Chicago, IL 60622-2452
Phone
(773) 922-1110
NPI assigned
Jul 31, 2013
Last updated
Dec 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Mrs. Mary Andrus, LCPC, ATR-BCNPI 1770614315
Title
President/Founder
Phone
(773) 922-1110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180005785 IL Primary

Addresses

Primary practice location

1579 N Milwaukee Ave
Suite 210
Chicago, IL 60622-2452

Mailing address

1579 N Milwaukee Ave
Suite 210
Chicago, IL 60622-2452
Phone (773) 922-1110

National Provider Directory

National Provider Directory

Locations

1579 N Milwaukee Ave
Ste 210
Chicago, IL 60622
Phone (708) 695-4869

Practitioners & affiliated clinicians

Practitioners 2

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": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1770915811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 N MILWAUKEE AVE",
            "address_2": "SUITE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222452",
            "telephone_number": "773-922-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 N MILWAUKEE AVE",
            "address_2": "SUITE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222452",
            "telephone_number": "773-922-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ART THERAPY STUDIO CHICAGO LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "ANDRUS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT/FOUNDER",
        "authorized_official_telephone_number": "773-922-1110",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC, ATR-BC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005785",
            "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 Dec 3, 2013; 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.