Robin Sieburg Shultz, LCSW,LMFT,CADC,CTRS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.000989 Issued in IL

Practice address

115 Campbell St
Suite 200a
Geneva, IL 60134-2784

Phone

(630) 828-6303

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Legends Counseling Coaching and Consulting LLC

  • Marriage & Family Therapist
  • Geneva, IL
  • NPI 1568841534

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432425600000",
    "number": "1851450126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 FOX TRAIL DR",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605108637",
            "telephone_number": "630-406-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CAMPBELL ST",
            "address_2": "SUITE 200A",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342784",
            "telephone_number": "630-828-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "ROBIN",
        "middle_name": "SIEBURG",
        "name_prefix": "Mrs.",
        "credential": "LCSW,LMFT,CADC,CTRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "17694",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-011-011",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.000989",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "2006303",
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "IL",
            "license": "22274",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3673276Z",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lin Shi, PH.D.
• Carolyn Shields, LCSW
• Shining Light Counseling Centers, PLLC
• Dean P Shoener, MD
• Theresa Shore, LCSW
• Jennifer Rodgers Siegel, M.S.
• Sight to See Eyecare & Eyewear, PLLC
• Jonathan Silva, MSW
• Ronald J Simone, MD
• Stacy Sims, PHARMD

• Marriage & Family Therapist in Geneva, IL
• Providers in Geneva, 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 May 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.