Jim Rentoulis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149016885 Issued in IL

Practice address

415 S Creekside Dr
Suite 107
Palatine, IL 60074-6529

Phone

(847) 873-1463

NPI assigned

Aug 18, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New Transitions Counseling Center, LTD.

  • Counseling Psychologist
  • Palatine, IL
  • NPI 1073953733

  Clinical

  NPD (past)

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1326447186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S CREEKSIDE DR",
            "address_2": "SUITE 107",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746529",
            "telephone_number": "847-873-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S CREEKSIDE DR",
            "address_2": "SUITE 107",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746529",
            "telephone_number": "847-873-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTOULIS",
        "first_name": "JIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regency Medical Center, P.C.
• Rehabilitation Associates of the Midwest, S.C.
• Gwen Reilly, M.A., CCC-SLP/L
• Janet Helen Reilly, MD
• Stephanie Roberta Reisenbuchler, COTA
• Resilient Roots Counseling
• Jennifer Reyna Gomez
• Victoria Reynolds
• Joseph Riccio, DPT
• Richard J Powers, DPM

• Clinical Social Worker in Palatine, IL
• Providers in Palatine, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.