Active NPI
Jami Devolder
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1043957939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180014308
- Practice address
- 5239 N Clark St # 2
Chicago, IL 60640-2122 - Phone
- (708) 320-3095
- NPI assigned
- May 12, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180014308 | IL | Primary |
Addresses
Primary practice location
5239 N Clark St # 2
Chicago, IL 60640-2122
Mailing address
2518 N Lake Dr Apt 5
Milwaukee, WI 53211-3810
Phone (708) 728-5834
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 |
|---|---|---|---|
| 180014308 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1043957939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2518 N LAKE DR APT 5",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532113810",
"telephone_number": "708-728-5834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5239 N CLARK ST # 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606402122",
"telephone_number": "708-320-3095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVOLDER",
"first_name": "JAMI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-12",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180014308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.