Shoreline Psychotherapy LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.001025 Issued in IL

Legal business name

SHORELINE PSYCHOTHERAPY LLC

Practice address

1940 Sherman Ave Ste a
Evanston, IL 60201

Phone

(330) 620-1043

NPI assigned

Nov 28, 2017

Last updated

Aug 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel Goldsmith, LMFTNPI 1972975571

Title

Owner/Marriage and Family Therapist

Phone

(847) 868-2199

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel Goldsmith, LMFT

  • Marriage & Family Therapist
  • Chicago, IL
  • NPI 1972975571
  Authorized official Same address or phone

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1942714084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CUSTER AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 SHERMAN AVE STE A",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "330-620-1043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Custer Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602022273",
            "country_code": "US",
            "telephone_number": "847-868-2199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHORELINE PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSMITH",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER/MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "847-868-2199",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M Sholtes, M.D.
• Aejin Shon, DO
• Carrie Shonk, LCSW, C-SSWS
• Eva Shontz, DNP - CRNA
• David Adam Shor, PH.D.
• Payoja Shree
• Laura Guangying Shu, M.D.
• Kevin Ming Shui, CRNA
• Mirela Shuleva, FNP-C
• Rebecca Dresner Shulman

• Marriage & Family Therapist in Evanston, IL
• Providers in Evanston, 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 Aug 22, 2018; 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.