1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Marriage Family Therapist
  6. NPI Profile

AUTUMN HOLTSCHLAG
NPI 1841937869
Marriage & Family Therapist in Chicago, IL

Active since May 20, 2022PECOS EnrolledAccepts Medicare Assignment
3665 N BROADWAY ST, CHICAGO, IL 60613(773) 496-4433 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 23, 2022, May 20, 2022 (2 updates tracked since 2022).

About Autumn Holtschlag NPPES

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

AUTUMN HOLTSCHLAG (NPI 1841937869) is an individual marriage & family therapist in Chicago, Illinois and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other.

NPPES Registry Identity

NPI1841937869
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameAUTUMN HOLTSCHLAG
Location Address3665 N BROADWAY STChicago, IL 60613-4567
Mailing Address420 W Melrose St Apt 203Chicago, IL 60657-3871 · (989) 252-9011
Phone(773) 496-4433
Sole ProprietorYes
Medical School CMSOther
Enumeration DateMay 20, 2022
Last NPPES UpdateMay 23, 20222 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
✔ NPI 1841937869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3665 N BROADWAY ST, Chicago, IL 60613
Open in Google Maps ↗

Secondary Practice Location 1

Location 1333 N Michigan Ave Ste 1400Chicago, IL 60601-4011 · Phone (312) 815-9660

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Autumn Holtschlag is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951823947
PECOS Enrollment IDI20250319002662
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Autumn Holtschlag reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clarity Clinic PLLC
3.9 mi
Mental Health (Including Community Mental Health Center)
1 E SUPERIOR ST, SUITE 306
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
  • 130 clinicians in this Medicare group
NPI 1063803856 (312) 754-9404

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HATTIE NEWELL AWE
Counselor (Mental Health)
3665 N BROADWAY ST
CHICAGO, IL 60613
Cook County (773) 496-4433
NICOLE L TOWNSEND
Counselor (Mental Health)
3665 N BROADWAY ST
CHICAGO, IL 60613
Cook County (773) 496-4433
JAMES HAM PA-C
Physician Assistant
3665 N BROADWAY ST
CHICAGO, IL 60613
Cook County (773) 496-4433
CHELSEA JARIWALA PA
Physician Assistant (Medical)
3665 N BROADWAY ST
CHICAGO, IL 60613
Cook County (773) 496-4433
JULIE DALEY LCSW
Social Worker (Clinical)
3665 N BROADWAY ST
CHICAGO, IL 60613
Cook County (773) 496-4433
ASHLEY CRUZ-MARTINEZ
Counselor (Professional)
3665 N BROADWAY ST
CHICAGO, IL 60613
Cook County (773) 496-4433
EMILY COHEN PA
Physician Assistant
3665 N BROADWAY ST
CHICAGO, IL 60613
Cook County (773) 496-4433
GLORIA ESTEFANIA AGUILAR GUANO M.A.
Counselor (Mental Health)
3665 N BROADWAY ST
CHICAGO, IL 60613
Cook County (773) 496-4433

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 Autumn Holtschlag's NPI number?

The NPI number for Autumn Holtschlag is 1841937869. It was assigned to this individual provider in the NPPES registry on May 20, 2022.

Where is Autumn Holtschlag located?

Autumn Holtschlag practices at 3665 N Broadway St, Chicago, IL 60613. The listed phone number is (773) 496-4433.

What is Autumn Holtschlag's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Autumn Holtschlag enrolled in Medicare?

Yes. Autumn Holtschlag is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Autumn Holtschlag's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Holtschlag reassigns Medicare benefits to Clarity Clinic PLLC (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Autumn Holtschlag's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Autumn Holtschlag was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.