Active NPI
Jade Parrish
- Behavior Technician
- Morris, IL
National Provider Identifier
1013778901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-290991
- Practice address
- 1715 N Division St
Morris, IL 60450-3100 - Phone
- (815) 510-0585
- NPI assigned
- Jan 18, 2024
- Last updated
- Jan 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-290991 | IL | Primary |
Addresses
Primary practice location
1715 N Division St
Morris, IL 60450-3100
Mailing address
1715 N Division St
Morris, IL 60450-3100
Phone (815) 510-0585
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 |
|---|---|---|---|
| RBT-23-290991 | IL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1013778901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 N DIVISION ST",
"city": "MORRIS",
"state": "IL",
"postal_code": "604503100",
"telephone_number": "815-510-0585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 N DIVISION ST",
"city": "MORRIS",
"state": "IL",
"postal_code": "604503100",
"telephone_number": "815-510-0585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRISH",
"first_name": "JADE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-18",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-23-290991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morris, IL
- Panoptic Health Service Inc (Panoptic Home Health)
- Panoptic Home Care LLC
- Sapana A Parikh, D.M.D.
- Park Point Supportive Living LLC (Pointe at Morris)
- Park Pointe Healthcare & Rehabilitation Center,LLC
- Brittany Parsons, OT
- Laura Catherine Passerman, SLP
- Biren M. Patel, M.D.
- Laura Margaret Patterson, MA, LCPC
- Kyle T Pearson, DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.