Janiese Myesha Asque
Individual provider Active NPI Mental Health Counselor · South Holland, IL
NPI 1073299343 · NPPES record last updated Jun 22, 2023
Key facts
- NPI
- 1073299343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 16519 Ellis Ave
South Holland, IL 60473-2426 - Phone
- (312) 599-3436
- NPI assigned
- Jun 22, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
16519 Ellis Ave
South Holland, IL 60473-2426
Mailing address
16519 Ellis Ave
South Holland, IL 60473-2426
Phone (312) 599-3436
Other providers in South Holland, IL
- Susan Anderson
- Maxwell Anokwute
- Arden Courts of South Holland Il LLC
- Artistic Dental Centre
- Ashley Medical Supply LLC
- Girma Balcha Assefa
- Aunt Martha'S Health and Wellness, Inc.
- Aunt Martha'S Youth Service Center Inc
- Awesome Star Enterprise Inc
- B.O.O.C. Inc.
All providers in South Holland, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.