Jessica Rose Gentry

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

111 N Wabash Ave Ste 1400
Chicago, IL 60602-3074

Phone

(312) 436-1657

Fax

(312) 284-4505

NPI assigned

Oct 28, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Everwell Therapy Chicago PLLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1699626598
  NPD Authorized official
• David Hoover, PSYD, PC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1619217064
  NPD
• Humboldt Park Counseling, PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1851094346
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1003416124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 1400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023074",
            "telephone_number": "312-436-1657",
            "fax_number": "312-284-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 1400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023074",
            "telephone_number": "312-436-1657",
            "fax_number": "312-284-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gentle Swab Inc
• Gentle Touch Home Healthcare Inc.
• Avonae Gentles
• Corie Lynn Gentry
• Erika Renee Gentry, PT, DPT
• Maria Gentry
• Nathaniel Gentry, MS
• Lisa Genualdi, CPNP
• Genuine Care Adult Service Center
• Genuine Hearts Behavioral Services LLC

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.