Jenaye Beavers
Individual provider Active NPI Marriage & Family Therapist · Chicago, IL
NPI 1124853064 · NPPES record last updated Sep 2, 2024
Key facts
- NPI
- 1124853064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 1770 W Berteau Ave Ste 304
Chicago, IL 60613-6131 - Phone
- (312) 210-0576
- NPI assigned
- Sep 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
1770 W Berteau Ave Ste 304
Chicago, IL 60613-6131
Mailing address
1770 W Berteau Ave Ste 304
Chicago, IL 60613-6131
Other providers in Chicago, IL
- Rebecca Beaulieu
- Stephanie A Beaulieu
- Beautiful Beginnings, Happy Endings LLC
- Beautiful Minds Counseling PLLC
- Beauty Dental Inc
- Nicole Desiree Beavers
- Kathleen Beavis
- Allison Bebar
- John Patrick Farouk Bebawy
- Brenda Beben
All providers in Chicago, IL · Marriage & Family Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.