Jenna Valentine

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

40 N Broadway Street
Coal City, IL 60416

Phone

(630) 352-7267

NPI assigned

Sep 13, 2017

Last updated

Apr 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Innerflow Counseling

  • Mental Health Counselor
  • Morris, IL
  • NPI 1265256002
  NPD Authorized official
• 515 Fitness Inc.

  • Professional Counselor
  • Wheaton, IL
  • NPI 1134508310
  NPD

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1245759083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 N LAKEWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N BROADWAY STREET",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "60416",
            "telephone_number": "630-352-7267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3133 N Lakewood Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60657",
            "country_code": "US",
            "telephone_number": "414-704-6347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "JENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ther-a-Care Rehabilitation LTD
• Therapy Studio
• Total Renal Care Inc (Coal City Home Training)
• Robin Trevison, D.M.D
• Christine Trofimchuck, D.C.
• Brent Vanduyne, PHARMD
• Kristin Marie Vaught, DMD
• Elizabeth A. Venice, APN
• Christina Veronda, LMT
• Vision Medical Supplies LLC

• Mental Health Counselor in Coal City, IL
• Providers in Coal City, 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 Apr 6, 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.