Active NPI
Jessica Washington, LPC
- Professional Counselor
- Oak Park, IL
National Provider Identifier
1083226955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180013857
- Practice address
- 638 Harrison St # 2W
Oak Park, IL 60304-1350 - Phone
- (708) 787-3111
- NPI assigned
- Aug 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180013857 | IL | Primary |
| Mental Health Counselor | 101YM0800X | 178.013972 | IL |
Addresses
Primary practice location
638 Harrison St # 2W
Oak Park, IL 60304-1350
Mailing address
333 N Michigan Ave Ste 704
Chicago, IL 60601-3905
Phone (312) 715-8234
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 |
|---|---|---|---|
| 178.013972 | IL | MD | Mental Health Counselor |
| 180013857 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| With Open Arms | Mental Health | Current | Accepting new patients |
| Chicago Compass Counseling, LLC | Professional | Past | Accepting new patients |
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": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674259200000",
"number": "1083226955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N MICHIGAN AVE STE 704",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606013905",
"telephone_number": "312-715-8234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "638 HARRISON ST # 2W",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603041350",
"telephone_number": "708-787-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHINGTON",
"first_name": "JESSICA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-20",
"last_updated": "2023-01-21",
"certification_date": "2023-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180013857",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178.013972",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.