Jacob J Kaufman, JD, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

345 W Fullerton Pkwy Apt 1304
Chicago, IL 60614-4865

Phone

(312) 543-9034

NPI assigned

Sep 11, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor, Master of Arts

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1144879123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W FULLERTON PKWY APT 1304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144865",
            "telephone_number": "312-543-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W FULLERTON PKWY APT 1304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144865",
            "telephone_number": "312-543-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "JACOB",
        "middle_name": "J",
        "credential": "JD, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jacob@jacobkaufman.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "345 W Fullerton Pkwy Apt 1304",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606144865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jkaufman@heritageprofessional.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "clinical practice",
            "address_1": "345 W Fullerton Pkwy Apt 1304",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606144865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jkaufman@heritageprofessional.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "all content",
            "address_1": "126 E Chestnut St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606112014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caitlin M Kaufman, DPT
• Dale Kaufman, MD
• Debra Kaufman, CCC-SLP
• Emily Kaufman
• Gary I Kaufman, M.D.
• Jessica Kaufman
• Joseph Kaufman, LCSW
• Kristen M Kaufman
• Kyle Kaufman, PT, DPT
• Lawrence M Kaufman, M.D.

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.