Individual provider Active NPI

Shengmei Qi Spigelmyre, M.A

  • Marriage & Family Therapist
  • Glen Ellyn, IL
National Provider Identifier
1972012508
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
208.000603 Issued in IL
Practice address
346 Taft Ave Ste 30
Glen Ellyn, IL 60137-6296
Phone
(630) 690-3170
NPI assigned
Sep 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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 208.000603 IL Primary

Addresses

Primary practice location

346 Taft Ave Ste 30
Glen Ellyn, IL 60137-6296

Mailing address

116 Kellogg PL
Wheaton, IL 60187-5702
Phone (224) 229-7346

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
208.000603ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Community Ministries Inc Marriage & Family Therapist 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": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1972012508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 KELLOGG PL",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875702",
            "telephone_number": "224-229-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 TAFT AVE STE 30",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376296",
            "telephone_number": "630-690-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIGELMYRE",
        "first_name": "SHENGMEI",
        "middle_name": "QI",
        "credential": "M.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "208.000603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.