Jr Counseling Services Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

JR COUNSELING SERVICES INC

Practice address

82 S la Grange Rd Ste 210
La Grange, IL 60525-6348

Phone

(708) 996-1294

NPI assigned

Dec 28, 2020

Organization subpart

No

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

Authorized official

Name

Jennifer Waterman, LCSWNPI 1871906842

Title

LCSW

Phone

(708) 996-1294

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Waterman, LCSW

  • Clinical Social Worker
  • La Grange, IL
  • NPI 1871906842
  NPD Authorized official

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1144817909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 OAK AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 S LA GRANGE RD STE 210",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256348",
            "telephone_number": "708-996-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR COUNSELING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "WATERMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "708-996-1294",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Darnell Johnson, MD
• Carly Jones, PT, OCS, CMT, ATC
• Lavon Jones, OTR/L
• Sarah Jones
• Taylor Jones, BCBA
• Justin Boyce, P.C.
• JW Pharmacy & DME Inc
• JW Pharmacy & DME Inc
• Lolichandra Kadiyala, MD
• Laura Bennett Kaehler, LCSW

• Adult Mental Health Clinic/Center in La Grange, IL
• Providers in La Grange, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.