Active NPI
Jasmine Diaz Flores
- Marriage & Family Therapist
- Naperville, IL
National Provider Identifier
1295437564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 900 E Diehl Rd Ste 101
Naperville, IL 60563-2394 - Phone
- (888) 428-7890
- NPI assigned
- Mar 20, 2023
- Last updated
- Mar 20, 2023
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
900 E Diehl Rd Ste 101
Naperville, IL 60563-2394
Mailing address
1307 W Lincoln Hwy Apt 6124
Dekalb, IL 60115-2951
Phone (815) 261-6511
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Clinical Services, P.C. | Current | Accepting new patients |
Locations
900 E Diehl Rd
Ste 101
Naperville, IL 60563
Phone (630) 328-0134
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1295437564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 W LINCOLN HWY APT 6124",
"city": "DEKALB",
"state": "IL",
"postal_code": "601152951",
"telephone_number": "815-261-6511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E DIEHL RD STE 101",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605632394",
"telephone_number": "888-428-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "JASMINE",
"middle_name": "DIAZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-20",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.