Active NPI
Jason Price, L.M.F.T.
- Marriage & Family Therapist
- Northbrook, IL
National Provider Identifier
1801839386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166000576
- Practice address
- 910 Skokie Blvd
Suite 215
Northbrook, IL 60062-4013 - Phone
- (847) 480-0300
- Fax
- (847) 291-0576
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166000576 | IL | Primary |
Addresses
Primary practice location
910 Skokie Blvd
Suite 215
Northbrook, IL 60062-4013
Mailing address
910 Skokie Blvd
Suite 215
Northbrook, IL 60062-4013
Phone (847) 480-0300
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
| License | State | Type | Specialty |
|---|---|---|---|
| 166000576 | IL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303862400000",
"number": "1801839386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 SKOKIE BLVD",
"address_2": "SUITE 215",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600624013",
"telephone_number": "847-480-0300",
"fax_number": "847-291-0576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 SKOKIE BLVD",
"address_2": "SUITE 215",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600624013",
"telephone_number": "847-480-0300",
"fax_number": "847-291-0576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "JASON",
"credential": "L.M.F.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2011-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166000576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.