J & J Maupin Enterprises Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.016196 Issued in IL

Legal business name

J & J MAUPIN ENTERPRISES INC.

Doing business as

J & J Maupin Enterprises Inc.

Practice address

5310 E William Street Rd
Decatur, IL 62521-1874

Phone

(217) 422-6361

Fax

(217) 422-6365

NPI assigned

Dec 4, 2015

Organization subpart

No

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

Authorized official

Name

Jeremy Ray Maupin

Title

President

Phone

(217) 422-6361

Specialties & licenses 1

Addresses

Other names 1

• J & J Maupin Enterprises Inc. Doing business as

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1104291905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 E WILLIAM STREET RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625211874",
            "telephone_number": "217-422-6361",
            "fax_number": "217-422-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 E WILLIAM STREET RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625211874",
            "telephone_number": "217-422-6361",
            "fax_number": "217-422-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & J MAUPIN ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "MAUPIN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-422-6361"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J & J Maupin Enterprises Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abby Iocca, MS, RD
• Alliah M Iqbal, COTA
• Janelle Lynn Isaacs, SLP
• Khondker Islam, MD
• Shanel Renee Ivy
• J & J Maupin Group Homes Inc.
• J & J Maupin Group Homes Inc.
• J a K Enterprises Inc
• J a K Enterprises Inc
• Amia Jackson, RBT

• Clinical Social Worker in Decatur, IL
• Providers in Decatur, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.