Enliven Couples Therapy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.000.676 Issued in IL

Legal business name

ENLIVEN COUPLES THERAPY

Practice address

30 N Michigan Ave
Suite 906
Chicago, IL 60602-3402

Phone

(773) 469-1507

NPI assigned

Sep 10, 2011

Organization subpart

No

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

Authorized official

Name

Kimberly A. Sharky, LMFT, CST

Title

President

Phone

(773) 469-1507

Specialties & licenses 1

Addresses

Tax ID family

Enliven Couples Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Enliven Couples Therapy, Inc.

  • Marriage & Family Therapist
  • Chicago, IL
  • NPI 1467838276
  NPD tax ID

Locations

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

{
    "created_epoch": "1315612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315612800000",
    "number": "1811279334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "address_2": "SUITE 906",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023402",
            "telephone_number": "773-469-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "address_2": "SUITE 906",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023402",
            "telephone_number": "773-469-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIVEN COUPLES THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-10",
        "last_updated": "2011-09-10",
        "status": "A",
        "authorized_official_last_name": "SHARKY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-469-1507",
        "authorized_official_credential": "LMFT, CST"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.000.676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enida Haxhia DDS Ms PLLC
• Enio a Rigolin MD SC
• Enkindle Counseling PLLC
• Enlighten Holistic Medicine, LLC
• Enlightened Speech and Language, LLC
• Enliven Couples Therapy, Inc.
• Enliven Wellness Center LLC
• Gabrielle Enna
• Stephanie Ennen, LCPC
• Colin Ennis, PSY.D.

• Marriage & Family Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.