Patrick Jeremiah Rafferty, MSW, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

300 Cardinal Dr Ste 280
St Charles, IL 60175-6598

Phone

(847) 214-0070

Fax

(331) 269-2106

NPI assigned

Apr 22, 2024

Last updated

Apr 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1275388316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CARDINAL DR STE 280",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601756598",
            "telephone_number": "847-214-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CARDINAL DR STE 280",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601756598",
            "telephone_number": "847-214-0070",
            "fax_number": "331-269-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFERTY",
        "first_name": "PATRICK",
        "middle_name": "JEREMIAH",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria N. Quartetti, MD
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• Jennifer Lynn Rachan
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• Nuvano Preethi Rajan Jayakumar, PMHNP
• Yesenia Ramirez
• Kaushal Ramkumar, RN, BSN
• Rommel Ram Ramos, PTA
• Randall Medical LLC

• Mental Health Counselor in St Charles, IL
• Providers in St Charles, 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 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.