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

Q: 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.

Q: What is Autumn Holtschlag's specialty?

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

Q: 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.

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: August 30, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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)