AMANDA HOFBAUER (NPI# 1689129405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689129405 |
| Entity Type | Individual |
| Full Name | AMANDA HOFBAUER |
| Other Name | AMANDA HUSNICK |
| Practice Address |
3139 N Lincoln Ave Ste 202 Chicago IL 60657-3122 |
| Mailing Address |
2107 N Kedzie Blvd #3 Chicago IL 60647-2701 |
| Practice Telephone | 3128576270 |
| Mailing Telephone | 6307402542 |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2020-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 166.001233 | IL | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 208.000479 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2648 N Washtenaw Ave # 1, Chicago, IL 606471836 | 3128576270 | |
| 70 E Lake St, Suite 222, Chicago, IL 606015959 | 3124285937 |
| Street Address |
3139 N LINCOLN AVE STE 202 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-3122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235332826 | Mary Katherine Hotze | Marriage & Family Therapist | 3139 N Lincoln Ave Ste 202, Chicago, IL 60657-3122 | 2007-06-09 |
| 1962988055 | Katelyn Corrigan Whetsel | Marriage & Family Therapist | 3139 N Lincoln Ave Ste 202, Chicago, IL 60657-3122 | 2018-07-12 |
| 1003322967 | Yvette Camacho | Counselor | 3139 N Lincoln Ave Ste 202, Chicago, IL 60657-3122 | 2017-12-14 |
| 1992259873 | Natalie Stanish | Marriage & Family Therapist | 3139 N Lincoln Ave Ste 202, Chicago, IL 60657-3122 | 2016-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112595 | Shira Galston LLC | Marriage & Family Therapist | 2941 W Lunt Ave, Chicago, IL 60645-2919 | 2020-10-26 |
| 1689272304 | Victoria Annette Barrows | Marriage & Family Therapist | 3036 W Irving Park Rd Fl 2, Chicago, IL 60618-3539 | 2020-10-14 |
| 1326646449 | Stephen Patrick Stewart | Marriage & Family Therapist | 4539 S Indiana Ave Apt 3, Chicago, IL 60653-5244 | 2020-10-12 |
| 1083220107 | Michaela Margaret Choy | Marriage & Family Therapist | 1165 N Clark St Ste 411, Chicago, IL 60610-7473 | 2020-09-23 |
| 1376158220 | Janea N Vinson | Marriage & Family Therapist | 501 E 32nd St Apt 908, Chicago, IL 60616-4076 | 2020-09-08 |
| 1902415854 | Enriched Living Counseling LLC | Marriage & Family Therapist | 1546 W Sherwin Ave Apt 1s, Chicago, IL 60626-2138 | 2020-07-27 |
| 1366064990 | Danielle Lauren Boisvert | Marriage & Family Therapist | 20 N Wacker Dr Ste 1442, Chicago, IL 60606-2906 | 2020-05-18 |
| 1639705114 | Michelle Ahmed | Marriage & Family Therapist | 5100 N Ravenswood Ave Ste 219, Chicago, IL 60640-1710 | 2020-03-17 |
| 1639700685 | Myra Clementine Castaneda | Marriage & Family Therapist | 5100 N Ravenswood Ave Ste 209, Chicago, IL 60640-1710 | 2020-01-29 |
| 1487295481 | Teresa D'astice | Marriage & Family Therapist | 7239 W Berwyn Ave, Chicago, IL 60656-1840 | 2019-10-01 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.