Individual provider Active NPI

Jayne Diana Museitif, MSMFT

  • Marriage & Family Therapist
  • Evanston, IL
National Provider Identifier
1093833774
Registry record updated Apr 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166000753 Issued in IL
Practice address
415 Howard St Apt 1802
Evanston, IL 60202-4057
Phone
(773) 217-9729
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 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 166000753 IL Primary

Addresses

Primary practice location

415 Howard St Apt 1802
Evanston, IL 60202-4057

Mailing address

1555 Sherman Ave Ste 155
Evanston, IL 60201-4421
Phone (773) 217-9729

Other practice location 1

825 Green Bay Rd Ste 210
Wilmette, IL 60091-2500
Phone (773) 217-9729

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

LicenseStateTypeSpecialty
166000753ILMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745712000000",
    "number": "1093833774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SHERMAN AVE STE 155",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014421",
            "telephone_number": "773-217-9729",
            "fax_number": "999-999-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 HOWARD ST APT 1802",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602024057",
            "telephone_number": "773-217-9729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Green Bay Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Wilmette",
            "state": "IL",
            "postal_code": "600912500",
            "country_code": "US",
            "telephone_number": "773-217-9729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSEITIF",
        "first_name": "JAYNE",
        "middle_name": "DIANA",
        "name_prefix": "Ms.",
        "credential": "MSMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2025-04-27",
        "certification_date": "2025-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.