Active NPI
Jessica Lynn Fouch, B.S.
- Behavior Analyst
- Joliet, IL
National Provider Identifier
1295059772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2401 W Jefferson St
Joliet, IL 60435-6428 - Phone
- (815) 773-7119
- Fax
- (815) 744-6916
- NPI assigned
- Mar 26, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
2401 W Jefferson St
Joliet, IL 60435-6428
Mailing address
5901 W 87TH St
Apt. 3E
Oak Lawn, IL 60453-1393
Phone (815) 773-7119
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
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269561600000",
"number": "1295059772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 W 87TH ST",
"address_2": "APT. 3E",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604531393",
"telephone_number": "815-773-7119",
"fax_number": "815-744-6916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 W JEFFERSON ST",
"city": "JOLIET",
"state": "IL",
"postal_code": "604356428",
"telephone_number": "815-773-7119",
"fax_number": "815-744-6916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOUCH",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "B.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-26",
"last_updated": "2010-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.