Active NPI
Teresa Marie Abels, MHP
- Behavior Analyst
- Joliet, IL
National Provider Identifier
1003280553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- A142-8139-1853
- Practice address
- 777 Joyce Rd
Joliet, IL 60436-1876 - Phone
- (815) 727-6666
- NPI assigned
- Nov 20, 2015
- Last updated
- Dec 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | ||
| Behavior Analyst | 103K00000X | A142-8139-1853 | IL | Primary |
Addresses
Primary practice location
777 Joyce Rd
Joliet, IL 60436-1876
Mailing address
777 Joyce Rd
Joliet, IL 60436-1876
Phone (815) 727-6666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A142-8139-1853 | IL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449792000000",
"number": "1003280553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 JOYCE RD",
"city": "JOLIET",
"state": "IL",
"postal_code": "604361876",
"telephone_number": "815-727-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 JOYCE RD",
"city": "JOLIET",
"state": "IL",
"postal_code": "604361876",
"telephone_number": "815-727-6666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABELS",
"first_name": "TERESA",
"middle_name": "MARIE",
"credential": "MHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-20",
"last_updated": "2015-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "A142-8139-1853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.