Laura Renee Wrzesinski, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

5131 N Lincoln Ave Ste 1
Chicago, IL 60625-2584

Phone

(971) 930-0089

NPI assigned

Jun 22, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Radical Realness Therapy PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1477207264
  NPD Authorized official
• Radical Realness Therapy LLC

  • Marriage & Family Therapist
  • Portland, OR
  • NPI 1639527393
  NPD Authorized official

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1861755951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 N LINCOLN AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252584",
            "telephone_number": "971-930-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 N LINCOLN AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252584",
            "telephone_number": "971-930-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRZESINSKI",
        "first_name": "LAURA",
        "middle_name": "RENEE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1159",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.000996",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Emily Wroble, APN
• Marzanna Wroblewska, COTA
• Stephanie Wroblewski, LCSW
• Zachary Wrona
• Anna Wruck, LPC
• WS Dental Chicago, PLLC (Grace Dental)
• WSKC Dialysis Services, Inc. (Fresenius Medical Care CHICAGO)
• WSKC Dialysis Services, Inc. (Fresenius Kidney Care Chicago Skyway)
• WSKC Dialysis Services, Inc. (Greenwood Avenue Dialysis Center)
• WSKC Dialysis Services, Inc. (Austin Community Kidney Center)

• Marriage & Family Therapist in Chicago, IL
• Providers in Chicago, 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 Feb 9, 2022; 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.