Individual provider Active NPI

John Augustine Nsimbi, MA

  • Professional Counselor
  • Homewood, IL
National Provider Identifier
1285964742
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1820 Ridge Rd Ste 200
Homewood, IL 60430-1748
Phone
(773) 758-2901
Fax
(708) 585-6222
NPI assigned
Jan 6, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1820 Ridge Rd Ste 200
Homewood, IL 60430-1748

Mailing address

1820 Ridge Rd Ste 200
Homewood, IL 60430-1748
Phone (773) 758-2901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241202002365 IL Practitioner - Mental Health Counselor 4880129766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

350 W Schaumburg Rd
Schaumburg, IL 60194-3499
Phone (847) 884-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Deeper Insight Counseling Services PC Professional Current Accepting new patients
Deer Oaks Mid-West LLC CurrentSince Nov 21, 2024 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Sep 15, 2025 Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

1820 Ridge Rd
Ste 200
Homewood, IL 60430
Phone (708) 966-6091

720 Raymond Dr
Naperville, IL 60563
Phone (630) 355-0220

3450 Oakton St
Ste 300
Skokie, IL 60076

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Organizations & group practices 3

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": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1285964742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 RIDGE RD STE 200",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301748",
            "telephone_number": "773-758-2901",
            "fax_number": "708-585-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 RIDGE RD STE 200",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301748",
            "telephone_number": "773-758-2901",
            "fax_number": "708-585-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NSIMBI",
        "first_name": "JOHN",
        "middle_name": "AUGUSTINE",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-06",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

Verify at the official NPI Registry.