Jani R Jones, LCPC

Individual provider Active NPI Professional Counselor · Energy, IL

NPI 1336256759 · NPPES record last updated Apr 30, 2014

Key facts

NPI
1336256759
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
180-002852 (IL)
Practice address
202 S. Pershing St.
Goya Health LTD.
Energy, IL 62933
Phone
(618) 988-9843
Fax
(618) 942-8640
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
180-002852ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wolz Health, Inc Past Accepting new patients
Holistic Psychiatry Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180-002852 IL Yes

Addresses

Primary practice location

202 S. Pershing St.
Goya Health LTD.
Energy, IL 62933

Mailing address

P.O. Box 100
Goya Health LTD.
Energy, IL 62933
Phone (618) 988-9843

Other identifiers

IdentifierTypeStateIssuer
133625759OtherILNPI

Other providers in Energy, IL

All providers in Energy, IL · Professional Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.