NPIMap

Organization Active NPI

J.Wall Counseling Services

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1275049389
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.014377 Issued in IL
Legal business name
J.WALL COUNSELING SERVICES
Practice address
1609 Sherman Ave Ste 318
Evanston, IL 60201-3753
Phone
(847) 471-0138
NPI assigned
Dec 27, 2017
Last updated
Apr 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Authorized official

Name
Julia Wall, LCSWNPI 1801191325
Title
Owner
Phone
(847) 471-0138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.014377 IL Primary

Addresses

Primary practice location

1609 Sherman Ave Ste 318
Evanston, IL 60201-3753

Mailing address

1609 Sherman Ave Ste 318
Evanston, IL 60201-3753
Phone (847) 471-0138

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1275049389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 SHERMAN AVE STE 318",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013753",
            "telephone_number": "847-471-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 SHERMAN AVE STE 318",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013753",
            "telephone_number": "847-471-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.WALL COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-471-0138",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014377",
            "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 Apr 9, 2018; 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.