Individual provider Active NPI

Raymond J Redelman, MA LFMT

  • Marriage & Family Therapist
  • Wheaton, IL
National Provider Identifier
1972659944
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
200 E Willow
Suite 101
Wheaton, IL 60187-9998
Phone
(630) 665-4141
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

200 E Willow
Suite 101
Wheaton, IL 60187-9998

Mailing address

200 E Willow
Suite 101
Wheaton, IL 60187-9998
Phone (630) 665-4141

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
166000190ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wheaton Couseling Center 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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972659944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E WILLOW",
            "address_2": "SUITE 101",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601879998",
            "telephone_number": "630-665-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E WILLOW",
            "address_2": "SUITE 101",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601879998",
            "telephone_number": "630-665-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDELMAN",
        "first_name": "RAYMOND",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MA LFMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.