Jamie Mirocha Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

149017464 Issued in IL

Legal business name

JAMIE MIROCHA INC.

Practice address

24012 W Renwick Road
Plainfield, IL 60544

Phone

(815) 676-4688

Fax

(815) 676-4498

NPI assigned

Oct 24, 2017

Organization subpart

No

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

Authorized official

Name

Jamie Mirocha, LCSW

Title

Therapist

Phone

(815) 676-4688

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1073024576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24012 W RENWICK RD",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605448731",
            "telephone_number": "815-676-4688",
            "fax_number": "815-676-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24012 W RENWICK ROAD",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60544",
            "telephone_number": "815-676-4688",
            "fax_number": "815-676-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE MIROCHA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "MIROCHA",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "815-676-4688",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "149017464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliana Jaber
• Yosif Jabir
• James a. Tuel PC (Advanced Family Eyecare)
• Jamie Mirocha
• Jamie Mirocha
• Justin Paul Jamison, M.D.
• Jans Dental LLC (Plainfield Family Dental Center)
• Christopher John Japour, D.P.M.
• Jane Edith Jarosz, M.S., OTR/L
• Angela B Jarzyna, APN-CNP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.