Individual provider Active NPI

Orenza Letizia Jaske, MA, LCPC

  • Professional Counselor
  • West Dundee, IL
National Provider Identifier
1285826412
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180005272 Issued in IL
Practice address
600 Spring Hill Ring Rd
Suite 105
West Dundee, IL 60118-7300
Phone
(847) 338-9076
Fax
(847) 426-4219
NPI assigned
Aug 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180005272 IL Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 26805 IL

Addresses

Primary practice location

600 Spring Hill Ring Rd
Suite 105
West Dundee, IL 60118-7300

Mailing address

1008 E Glavin CT Apt 4
Palatine, IL 60074-2204
Phone (847) 338-9076

Other names 1

  • Miss Orenza Letizia Visconti Other name

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 Arts

State licenses

LicenseStateTypeSpecialty
26805ILMDAddiction (Substance Use Disorder) Counselor
180005272ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1186876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1285826412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 E GLAVIN CT APT 4",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600742204",
            "telephone_number": "847-338-9076",
            "fax_number": "847-426-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SPRING HILL RING RD",
            "address_2": "SUITE 105",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601187300",
            "telephone_number": "847-338-9076",
            "fax_number": "847-426-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASKE",
        "first_name": "ORENZA",
        "middle_name": "LETIZIA",
        "name_prefix": "Mrs.",
        "credential": "MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-12",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005272",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "26805",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ORENZA",
            "last_name": "VISCONTI",
            "middle_name": "LETIZIA",
            "prefix": "MISS",
            "credential": "MA, LCPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Dundee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.