Active NPI
Jamie Haze, MS
- Counselor
- Wheeling, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 210 N Wolf Rd
Wheeling, IL 60090-2922 - Phone
- (847) 353-1500
- NPI assigned
- Nov 18, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
210 N Wolf Rd
Wheeling, IL 60090-2922
Mailing address
1111 W Lake Cook Rd
Buffalo Grove, IL 60089-1926
Phone (847) 353-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
110 N Brockway St
Suite 300
Palatine, IL 60067-5020
1345 Mendota Heights Rd
Mendota Heights, MN 55120-1129
1345 Mendota Heights Rd
Mendota Heights, MN 55120-2006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Support PLLC | Current | Accepting new patients | |
| Omni Youth Services | Past | Accepting new patients | |
| Omni Youth Services | Past | Accepting new patients |
Locations
110 N Brockway St
Ste 300
Palatine, IL 60067
Phone (847) 485-1640
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wheeling, IL
- NPI 1134369663
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Wheeling, IL
- NPI 1720525678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1194482612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 W LAKE COOK RD",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891926",
"telephone_number": "847-353-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N WOLF RD",
"city": "WHEELING",
"state": "IL",
"postal_code": "600902922",
"telephone_number": "847-353-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZE",
"first_name": "JAMIE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-18",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.