Jennie N. Marquez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180-006644 Issued in IL

Legal business name

JENNIE N. MARQUEZ

Practice address

4777 E State St
Suite 1
Rockford, IL 61108-2273

Phone

(815) 977-1425

NPI assigned

Dec 3, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Jennie N. Marquez, LCPC

Title

Ceo

Phone

(815) 977-1425

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1023449972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 E LINCOLN AVE",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610082839",
            "telephone_number": "815-977-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 E STATE ST",
            "address_2": "SUITE 1",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082273",
            "telephone_number": "815-977-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIE N. MARQUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-977-1425",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-006644",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.008535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Jellings, R.N.
• Melissa N Jendusa, CADC
• Brittany Nichole Jenkins
• Crystal Jewell Jenkins
• Leann Jenkins, MS, LCPC
• Christa Jennings
• Kurt Fredric Jensen, D.D.S.
• Megan Lynn Jensen
• David Jeong, MD
• Aimee Michelle Jerding, LSW

• Mental Health Counselor in Rockford, IL
• Providers in Rockford, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.