Individual provider Active NPI

Jessica Ann Kurpiel, LSW

  • Social Worker
  • Lombard, IL
National Provider Identifier
1013516517
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150014264 Issued in IL
Practice address
244 N Craig PL
Lombard, IL 60148-2007
Phone
(708) 712-8447
NPI assigned
Oct 26, 2020
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150014264 IL Primary

Addresses

Primary practice location

244 N Craig PL
Lombard, IL 60148-2007

Mailing address

9247 Broadway Ste BB
Merrillville, IN 46410-7008
Phone (219) 323-3311

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

LicenseStateTypeSpecialty
150014264ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach York Past Accepting new patients
Pillars of Wellness PastSince Nov 1, 2020 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1013516517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9247 BROADWAY STE BB",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107008",
            "telephone_number": "219-323-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 N CRAIG PL",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482007",
            "telephone_number": "708-712-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURPIEL",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150014264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.