Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaqueline Nicole Chavez

Individual provider Marriage & Family Therapist · NPI 1154979375

Jaqueline Nicole Chavez is a Marriage and Family Therapist in Chicago, Illinois. Qualified in 2019, 7 years ago. Practices with Artesian Collaborative, LLC, a 5-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
7
In the registry since
2019
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Practice location Address checks out

77 W Washington St Ste 1500
Chicago, IL 60602-3219
Phone: (773) 980-9679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1154979375
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 30, 2019
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Artesian Collaborative, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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