Active NPI
Nina Jenner
- Professional Counselor
- Chicago, IL
National Provider Identifier
1043629116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180009134
- Practice address
- 938 W Nelson St
Chicago, IL 60657-6704 - Phone
- (773) 296-3220
- Fax
- (773) 296-3226
- NPI assigned
- Aug 4, 2014
- Last updated
- Aug 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180009134 | IL | Primary |
Addresses
Primary practice location
938 W Nelson St
Chicago, IL 60657-6704
Mailing address
938 W Nelson St
Chicago, IL 60657-6704
Phone (773) 296-3220
Other names 1
- Nina Logan
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 |
|---|---|---|---|
| 180009134 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nina Logan Jenner Psychotherapy PLLC | Current | 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 Counselor
- Chicago, IL
- NPI 1619740867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1043629116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "938 W NELSON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576704",
"telephone_number": "773-296-3220",
"fax_number": "773-296-3226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "938 W NELSON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576704",
"telephone_number": "773-296-3220",
"fax_number": "773-296-3226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNER",
"first_name": "NINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-04",
"last_updated": "2014-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180009134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NINA",
"last_name": "LOGAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chicago, IL
- Shawnte Jenkins, ED.D
- Tashay Jenkins, MA
- Islamiyyah T Jenmi-Lasisi
- Jenna Brooks PLLC
- Jenna Weintrob, Psy.D., Inc.
- Kyle Joseph Jennette, PH.D.
- Jennifer Ann Speech Therapy, Inc
- Jennifer Booth PSYD PLLC
- Jennifer Davis and Michelle S. White (Family Adolescent Child Treatment Service, LLC)
- Jennifer Diamond PHD, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.