Jennifer D Nalls

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178014138 Issued in IL

Practice address

9641 W 153Rd St Ste 48
Orland Park, IL 60462-3777

Phone

(708) 963-0333

NPI assigned

Mar 24, 2021

Last updated

Mar 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thriving Lives Counseling, LLC

  • Professional Counselor
  • Tinley Park, IL
  • NPI 1740702596
  NPD (past)

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1114503570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4644 FARMINGTON AVE",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711808",
            "telephone_number": "708-747-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9641 W 153RD ST STE 48",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623777",
            "telephone_number": "708-963-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLS",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178014138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald C Myczek, D.D.S.
• Priya Naik
• Andrew Nail, LSW
• Larry Vincent Najera III, M.D.
• Alexandra P Nakvosas, MA
• Nanette Gormley MD SC
• Lisa Maria Nardi, LCPC
• Nathaniel Stephen Rood D.D.S., LTD. (Orland Smiles)
• National Imaging LLC (Molecular Imaging of Orland Park)
• National Vision Inc (America's Best Contacts & Eyeglasses)

• Professional Counselor in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.