Individual provider Active NPI

Jasmine Cornelia Jaurigue

  • Mental Health Counselor
  • Lake Bluff, IL
National Provider Identifier
1366209462
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
100 N Waukegan Rd Ste 204
Lake Bluff, IL 60044-1660
Phone
(847) 821-9346
NPI assigned
Mar 5, 2024
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IL Primary

Addresses

Primary practice location

100 N Waukegan Rd Ste 204
Lake Bluff, IL 60044-1660

Mailing address

100 N Waukegan Rd Ste 204
Lake Bluff, IL 60044-1660
Phone (847) 821-9346

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

Practice roles

OrganizationSpecialtyStatusNew patients
White Stone Partners LLC CurrentSince Dec 26, 2023 Accepting new patients

Locations

34121 N US Highway 45
Ste 221
Grayslake, IL 60030
Phone (847) 461-9162

100 N Waukegan Rd
Ste 204
Lake Bluff, IL 60044
Phone (224) 252-4951

550 W Frontage Rd
Ste 3825
Northfield, IL 60093
Phone (847) 461-9162

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": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1366209462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N WAUKEGAN RD STE 204",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441660",
            "telephone_number": "847-821-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WAUKEGAN RD STE 204",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441660",
            "telephone_number": "847-821-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAURIGUE",
        "first_name": "JASMINE",
        "middle_name": "CORNELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.