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WATERBROOK THERAPY, INC.
NPI 1528525383
Counselor - Professional in Chicago, IL

Active since February 27, 2019
10540 S WESTERN AVE STE 406, CHICAGO, IL 60643(773) 559-5958(773) 442-0085 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Waterbrook Therapy, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WATERBROOK THERAPY, INC. (NPI 1528525383) is a healthcare organization registered as a professional in Chicago, Illinois and active in the NPI registry since February 2019. The organization maintains a secondary practice location in Chicago and lists Robert Preston Stanford, Owner, as its authorized official.

NPPES Registry Identity

NPI1528525383
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameWATERBROOK THERAPY, INC.
Location Address10540 S WESTERN AVE STE 406Chicago, IL 60643-2529
Mailing Address10540 S Western Ave Ste 406Chicago, IL 60643-2529 · (773) 559-5958 · Fax (773) 442-0085
Phone(773) 559-5958
Fax(773) 442-0085
Organization SubpartNo
Authorized OfficialRobert Preston StanfordOwner · (312) 725-0646
Enumeration DateFebruary 27, 2019
✔ NPI 1528525383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
10540 S WESTERN AVE STE 406, Chicago, IL 60643
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Secondary Practice Location 1

Location 1166 W Washington St Ste 350Chicago, IL 60602-2353 · Phone (773) 559-5958 · Fax (773) 442-0085

Other Identifiers 1

Medicaid354789452001IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waterbrook Therapy, Inc.'s NPI number?

The NPI number for Waterbrook Therapy, Inc. is 1528525383. It was assigned to this organization in the NPPES registry on February 27, 2019.

Where is Waterbrook Therapy, Inc. located?

Waterbrook Therapy, Inc. is located at 10540 S Western Ave Ste 406, Chicago, IL 60643. The listed phone number is (773) 559-5958.

What is Waterbrook Therapy, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Waterbrook Therapy, Inc. was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.