Active NPI
Amy J Graham, LPC, ATR
- Art Therapist
- Chicago, IL
National Provider Identifier
1861032385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 18-201
- Practice address
- 155 N Michigan Ave Ste 450
Chicago, IL 60601-7939 - Phone
- (708) 628-7645
- NPI assigned
- Jan 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 178.015428 | IL | |
| Art Therapist | 221700000X | 18-201 | IL | Primary |
Addresses
Primary practice location
155 N Michigan Ave Ste 450
Chicago, IL 60601-7939
Mailing address
155 N Michigan Ave Ste 450
Chicago, IL 60601-7939
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 |
|---|---|---|---|
| 178.015428 | IL | MD | Mental Health Counselor |
| 18-201 | IL | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Polina Reyngold, LTD | Multi-Specialty | Past | 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": "1578873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1861032385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 N MICHIGAN AVE STE 450",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N MICHIGAN AVE STE 450",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017939",
"telephone_number": "708-628-7645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "AMY",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "LPC, ATR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-13",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178.015428",
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Art Therapist",
"state": "IL",
"license": "18-201",
"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 Sep 3, 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.