MR. JOSEPH SHAINE GOTTFRIED MA, LCPC
NPI 1851625677
Counselor - Professional in Chicago, IL

Active since September 25, 2009
3850 N LAWNDALE AVE, CHICAGO, IL 60618(773) 633-8057 Get Directions Write a Review

NPPES record last updated: July 8, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Joseph Shaine Gottfried Ma, Lcpc NPPES

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

MR. JOSEPH SHAINE GOTTFRIED MA, LCPC (NPI 1851625677) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.009130) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1851625677
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JOSEPH SHAINE GOTTFRIEDCredential: MA, LCPC
Location Address3850 N LAWNDALE AVEChicago, IL 60618-4115
Mailing Address5049 N Central Park Ave Apt 3cChicago, IL 60625-5537 · (773) 633-8057
Sole ProprietorYes
Enumeration DateSeptember 25, 2009
Last NPPES UpdateJuly 8, 2014
NPI 1851625677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180.009130
3850 N LAWNDALE AVE, Chicago, IL 60618

Other Names 1

Former Name (1)Brent Fredrich Bredthauer Ma, Lpc

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Social Worker
3850 N LAWNDALE AVE
CHICAGO, IL 60618
Psychologist (Clinical)
3850 N LAWNDALE AVE, STE 203
CHICAGO, IL 60618
Psychologist (Clinical)
3850 N LAWNDALE AVE, STE 203
CHICAGO, IL 60618

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 Joseph Gottfried's NPI number?

The NPI number for Joseph Gottfried is 1851625677. It was assigned to this individual provider in the NPPES registry on September 25, 2009. The provider is also known as Brent Fredrich Bredthauer Ma, Lpc.

Where is Joseph Gottfried located?

Joseph Gottfried practices at 3850 N Lawndale Ave, Chicago, IL 60618. The listed phone number is (773) 633-8057.

What is Joseph Gottfried's specialty?

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

What insurance does Joseph Gottfried accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Joseph Gottfried as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joseph Gottfried was last updated on July 8, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.