The JBL Group

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THE JBL GROUP

Practice address

8104 S Kingston Ave
Chicago, IL 60617-1231

Phone

(773) 424-6715

NPI assigned

Dec 19, 2015

Last updated

Dec 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juanita Wells

Title

Ceo

Phone

(773) 424-6715

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1450483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450483200000",
    "number": "1336504299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8104 S KINGSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606171231",
            "telephone_number": "773-424-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8104 S KINGSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606171231",
            "telephone_number": "773-424-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JBL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-19",
        "last_updated": "2015-12-19",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-424-6715"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2015; 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.