Autumn Butler

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

19900 Governors Dr Ste 300D
Olympia Fields, IL 60461-1059

Phone

(708) 855-0783

NPI assigned

Aug 7, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Bridging Lyfe PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Lansing, IL
  • NPI 1528781135
  NPD (past)

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1992487128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22927 MILLARD AVE",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604712534",
            "telephone_number": "708-275-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 GOVERNORS DR STE 300D",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611059",
            "telephone_number": "708-855-0783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22927 Millard Ave",
            "address_purpose": "LOCATION",
            "city": "Richton Park",
            "state": "IL",
            "postal_code": "604712534",
            "country_code": "US",
            "telephone_number": "708-275-7052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "AUTUMN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burke Medical Group LTD
• Kathryn R Burke, DO
• Mary F. Burke, M.D.
• Sharon S Burke, M.D.
• Busy Bodies LLC
• Marquise Demone Byers, LCSW
• Maximillian Bzdula
• Gerald Cahill, M.D.
• Calm Ambitions Psychological Services PLLC
• Camelot Care Centers, LLC

• Social Worker in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.