Joseph Shaine Gottfried, MA, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.009130 Issued in IL

Practice address

3850 N Lawndale Ave
Chicago, IL 60618-4115

Phone

(773) 633-8057

NPI assigned

Sep 25, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Brent Fredrich Bredthauer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1851625677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5049 N CENTRAL PARK AVE APT 3C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255537",
            "telephone_number": "773-633-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 N LAWNDALE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184115",
            "telephone_number": "773-633-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTFRIED",
        "first_name": "JOSEPH",
        "middle_name": "SHAINE",
        "name_prefix": "Mr.",
        "credential": "MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-25",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENT",
            "last_name": "BREDTHAUER",
            "middle_name": "FREDRICH",
            "credential": "MA, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria Otilia Gotay
• Sadie Gotlib
• Numa Gottardi-Littell, MD
• Nina Louise Gotteiner, M.D.
• Emily Marie Gottemoller-Mueller, PA-C
• Bridget Elizabeth Gottlieb, LMSW, LCSW
• John F. Gottlieb, M.D.
• Lawrence Gottlieb
• Michael Gottlieb, M.D.
• Ori Gottlieb

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.