Active NPI
Juli Dragisic
- Counselor
- Joliet, IL
National Provider Identifier
1033574777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 750 Essington Rd
Joliet, IL 60435-4912 - Phone
- (815) 729-2160
- Fax
- (815) 373-0099
- NPI assigned
- Dec 23, 2015
- Last updated
- Dec 5, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Mental Health Counselor | 101YM0800X | 180009994 | IL |
Addresses
Primary practice location
750 Essington Rd
Joliet, IL 60435-4912
Mailing address
2301 Glenwood Ave
Joliet, IL 60435-5481
Phone (815) 730-8221
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 |
|---|---|---|---|
| 180009994 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Services Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Joliet, IL
- NPI 1003085770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575504000000",
"number": "1033574777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 GLENWOOD AVE",
"city": "JOLIET",
"state": "IL",
"postal_code": "604355481",
"telephone_number": "815-730-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 ESSINGTON RD",
"city": "JOLIET",
"state": "IL",
"postal_code": "604354912",
"telephone_number": "815-729-2160",
"fax_number": "815-373-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAGISIC",
"first_name": "JULI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-23",
"last_updated": "2019-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180009994",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.