Active NPI
Therapy and Wellness Inc.
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1982147096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Beth Schultz, LCSW, CPT, RYT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1356364954
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.