Active NPI
Johnnie L Jasper
- Addiction (Substance Use Disorder) Counselor
- Wheaton, IL
National Provider Identifier
1144824574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 22257
- Practice address
- Central Public Health Center (CPHC)
111 N. County Farm Road
Wheaton, IL 60187 - Phone
- (630) 627-1700
- NPI assigned
- Nov 25, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 22257 | IL | Primary |
Addresses
Primary practice location
Central Public Health Center (CPHC)
111 N. County Farm Road
Wheaton, IL 60187
Mailing address
Central Public Health Center (CPHC)
111 N. County Farm Road
Wheaton, IL 60187
Phone (630) 627-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22257 | IL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1144824574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CENTRAL PUBLIC HEALTH CENTER (CPHC)",
"address_2": "111 N. COUNTY FARM ROAD",
"city": "WHEATON",
"state": "IL",
"postal_code": "60187",
"telephone_number": "630-627-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRAL PUBLIC HEALTH CENTER (CPHC)",
"address_2": "111 N. COUNTY FARM ROAD",
"city": "WHEATON",
"state": "IL",
"postal_code": "60187",
"telephone_number": "630-627-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASPER",
"first_name": "JOHNNIE",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-25",
"last_updated": "2020-11-25",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "22257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.