Organization Active NPI

Therapy and Wellness Inc.

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1982147096
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THERAPY AND WELLNESS INC.
Practice address
5756 N Ridge Ave Ste 11
Chicago, IL 60660-5333
Phone
(608) 347-9597
NPI assigned
Nov 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Authorized official

Name
Andrea Beth Schultz, LCSW, CPT, RYTNPI 1356364954
Title
Psychotherapist
Phone
(608) 347-9597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5756 N Ridge Ave Ste 11
Chicago, IL 60660-5333

Mailing address

1020 Austin St
Evanston, IL 60202-2705
Phone (608) 347-9597

Other names 1

  • Wellness Inc. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1982147096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 AUSTIN ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022705",
            "telephone_number": "608-347-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5756 N RIDGE AVE STE 11",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606605333",
            "telephone_number": "608-347-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY AND WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "608-347-9597",
        "authorized_official_credential": "LCSW, CPT, RYT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellness Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 25, 2019; 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.