Individual provider Active NPI

Jodi Michelle Smith-Cohen, LMFT

  • Marriage & Family Therapist
  • Evanston, IL
National Provider Identifier
1184958258
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166.000768 Issued in IL
Practice address
2956 Central St
Evanston, IL 60201-1246
Phone
(847) 217-1657
Fax
(847) 933-9703
NPI assigned
Sep 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166.000768 IL Primary

Addresses

Primary practice location

2956 Central St
Evanston, IL 60201-1246

Mailing address

9550 Central Park Ave
Evanston, IL 60203-1104
Phone (847) 217-1657

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

LicenseStateTypeSpecialty
166.000768ILMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1184958258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 CENTRAL PARK AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031104",
            "telephone_number": "847-217-1657",
            "fax_number": "847-933-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2956 CENTRAL ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011246",
            "telephone_number": "847-217-1657",
            "fax_number": "847-933-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-COHEN",
        "first_name": "JODI",
        "middle_name": "MICHELLE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.000768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.