Active NPI
Wise Counsel for Mental Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bolingbrook, IL
National Provider Identifier
1104413715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- WISE COUNSEL FOR MENTAL HEALTH
- Practice address
- 440 W Boughton Rd
Bolingbrook, IL 60440-1892 - Phone
- (630) 882-5433
- NPI assigned
- Dec 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jessica Dennis, PSYD
- Title
- Clinical Therapist/LCPC
- Phone
- (630) 882-5433
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
440 W Boughton Rd
Bolingbrook, IL 60440-1892
Mailing address
1977 Conway LN
Aurora, IL 60503-8548
Phone (773) 875-5168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154660355 | Other | IL | INDIVIDUAL NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://dr-jessica-dennis.clientsecure.me | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Joliet, IL
- NPI 1154660355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609200000000",
"number": "1104413715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1977 CONWAY LN",
"city": "AURORA",
"state": "IL",
"postal_code": "605038548",
"telephone_number": "773-875-5168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 W BOUGHTON RD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604401892",
"telephone_number": "630-882-5433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WISE COUNSEL FOR MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-29",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A",
"authorized_official_last_name": "DENNIS",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "CLINICAL THERAPIST/LCPC",
"authorized_official_telephone_number": "630-882-5433",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1154660355",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://dr-jessica-dennis.clientsecure.me",
"affiliation": "N",
"endpointDescription": "Simple Practice",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "440 W Boughton Rd",
"city": "Bolingbrook",
"state": "IL",
"country_code": "US",
"postal_code": "604401892",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.