Individual provider Active NPI

Jane-Erin Janachowski, M.ED, BCBA

  • Behavior Analyst
  • Lake in the Hills, IL
National Provider Identifier
1275353054
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-76532 Issued in IL
Practice address
1301 Pyott Rd Ste 106
Lake in the Hills, IL 60156-9796
Phone
(847) 752-0046
NPI assigned
Oct 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-24-76532 IL Primary

Addresses

Primary practice location

1301 Pyott Rd Ste 106
Lake in the Hills, IL 60156-9796

Mailing address

1301 Pyott Rd Ste 106
Lake in the Hills, IL 60156-9796
Phone (847) 752-0046

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
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Pebblebrook Pediatric Behavioral Therapy, LLC Behavior Analyst CurrentSince Oct 20, 2024 Accepting new patients

Locations

1301 Pyott Rd
Ste 106
Lk in the Hls, IL 60156
Phone (248) 752-4220

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1275353054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PYOTT RD STE 106",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601569796",
            "telephone_number": "847-752-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PYOTT RD STE 106",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601569796",
            "telephone_number": "847-752-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANACHOWSKI",
        "first_name": "JANE-ERIN",
        "credential": "M.ED, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-24-76532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.