Individual provider Active NPI

Emily Jean Zeller, LMFT

  • Marriage & Family Therapist
  • Wheaton, IL
National Provider Identifier
1851709257
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166.001064 Issued in IL
Practice address
1105 Casa Solana Dr
Wheaton, IL 60189-8213
Phone
(419) 304-8281
NPI assigned
Jul 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166.001064 IL Primary

Addresses

Primary practice location

1105 Casa Solana Dr
Wheaton, IL 60189-8213

Mailing address

1105 Casa Solana Dr
Wheaton, IL 60189-8213

Other practice location 1

705 Warrenville Rd
Suite D
Wheaton, IL 60189-6379
Phone (630) 653-5540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 10, 2024 through Feb 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
166.001064ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Zeller & Co. Therapy, LTD. Marriage & Family Therapist CurrentSince Jun 21, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1851709257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 CASA SOLANA DR",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601898213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 CASA SOLANA DR",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601898213",
            "telephone_number": "419-304-8281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Warrenville Rd",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601896379",
            "country_code": "US",
            "telephone_number": "630-653-5540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELLER",
        "first_name": "EMILY",
        "middle_name": "JEAN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.