Individual provider Active NPI

Johanna Jelenek

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1356810477
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180013479 Issued in IL
Practice address
233 E Wacker Dr Apt 3901
Chicago, IL 60601-5115
Phone
(517) 256-1339
NPI assigned
Nov 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.014092 IL
Professional Counselor 101YP2500X 180013479 IL Primary

Addresses

Primary practice location

233 E Wacker Dr Apt 3901
Chicago, IL 60601-5115

Mailing address

1060 N Marshfield Ave Apt 2S
Chicago, IL 60622-3870
Phone (517) 256-1339

Other practice location 1

310 W Chicago Ave
Chicago, IL 60654-5106
Phone (312) 943-6545 ext. 279

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
178.014092ILMDProfessional Counselor
180013479ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
JJ Counseling Services PLLC Professional CurrentSince Jun 21, 2022 Accepting new patients

Locations

2405 N Sheffield Ave
#594
Chicago, IL 60614
Phone (312) 768-8608

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": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1356810477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 N MARSHFIELD AVE APT 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223870",
            "telephone_number": "517-256-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E WACKER DR APT 3901",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015115",
            "telephone_number": "517-256-1339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 W Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606545106",
            "country_code": "US",
            "telephone_number": "312-943-6545 x279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JELENEK",
        "first_name": "JOHANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.014092",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180013479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.