Active NPI
Donald Ray Watson II, LMFT
- Marriage & Family Therapist
- Chicago, IL
National Provider Identifier
1831852169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166.001504
- Practice address
- 3717 N Ravenswood Ave Ste 239
Chicago, IL 60613-4260 - Phone
- (312) 612-0074
- NPI assigned
- Oct 13, 2021
- 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 | 166.001504 | IL | Primary |
Addresses
Primary practice location
3717 N Ravenswood Ave Ste 239
Chicago, IL 60613-4260
Mailing address
4610 N Clark St # 1195
Chicago, IL 60640-4620
Phone (312) 612-0075
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 |
|---|---|---|---|
| 166.001504 | IL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fables LLC | Marriage & Family Therapist | Current | Accepting new patients |
| Pinnacle Counseling, LLC | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- Chicago, IL
- NPI 1013760784
-
- Marriage & Family Therapist
- Chicago, IL
- NPI 1104266485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1831852169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4610 N CLARK ST # 1195",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606404620",
"telephone_number": "312-612-0075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3717 N RAVENSWOOD AVE STE 239",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606134260",
"telephone_number": "312-612-0074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "DONALD",
"middle_name": "RAY",
"name_suffix": "II",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-13",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166.001504",
"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 Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.