Individual provider Active NPI

Tamakisha Sholanda Meeks

  • Professional Counselor
  • Downers Grove, IL
National Provider Identifier
1306409842
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178014746 Issued in IL
Practice address
5117 Main St Ste B
Downers Grove, IL 60515-4676
Phone
(630) 506-1491
NPI assigned
Apr 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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 178014746 IL Primary

Addresses

Primary practice location

5117 Main St Ste B
Downers Grove, IL 60515-4676

Mailing address

5306 W Ferdinand St
Chicago, IL 60644-1936
Phone (773) 968-9069

Other practice location 1

1100 Lake St # Ll30-C
Oak Park, IL 60301-1015
Phone (630) 506-1491

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

State licenses

LicenseStateTypeSpecialty
178014746ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1306409842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 W FERDINAND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606441936",
            "telephone_number": "773-968-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5117 MAIN ST STE B",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154676",
            "telephone_number": "630-506-1491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Lake St # Ll30-C",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603011015",
            "country_code": "US",
            "telephone_number": "630-506-1491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEEKS",
        "first_name": "TAMAKISHA",
        "middle_name": "SHOLANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178014746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.