Individual provider Active NPI

Jillian Mizraji

  • Marriage & Family Therapist
  • Chicago, IL
National Provider Identifier
1043995178
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
25 E Washington St Ste 1021
Chicago, IL 60602-1710
Phone
(312) 298-9846
NPI assigned
Jun 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

25 E Washington St Ste 1021
Chicago, IL 60602-1710

Mailing address

2901 Central St Ste 5
Evanston, IL 60201-1288
Phone (872) 265-1144

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

Practice roles

OrganizationSpecialtyStatusNew patients
Illuminate Counseling MFT PLLC Marriage & Family Therapist CurrentSince Feb 23, 2025 Accepting new patients
Pinnacle Counseling, LLC Marriage & Family Therapist PastSince Jun 18, 2023 Accepting new patients

Locations

2901 Central St
Ste 5
Evanston, IL 60201
Phone (872) 265-1144

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1043995178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 CENTRAL ST STE 5",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011288",
            "telephone_number": "872-265-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 1021",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021710",
            "telephone_number": "312-298-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZRAJI",
        "first_name": "JILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "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 Feb 21, 2025; 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.