Individual provider Active NPI

Beata D. Jankiewicz, LCPC, CADC, ATR

  • Mental Health Counselor
  • Schaumburg, IL
National Provider Identifier
1386941896
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180007257 Issued in IL
Practice address
120 W Golf Rd
Suite 209
Schaumburg, IL 60195-5179
Phone
(708) 228-9215
NPI assigned
Feb 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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 180007257 IL Primary

Addresses

Primary practice location

120 W Golf Rd
Suite 209
Schaumburg, IL 60195-5179

Mailing address

120 W Golf Rd
Suite 209
Schaumburg, IL 60195-5179
Phone (708) 228-9215

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
180007257ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1386941896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W GOLF RD",
            "address_2": "SUITE 209",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601955179",
            "telephone_number": "708-228-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W GOLF RD",
            "address_2": "SUITE 209",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601955179",
            "telephone_number": "708-228-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKIEWICZ",
        "first_name": "BEATA",
        "middle_name": "D.",
        "credential": "LCPC, CADC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180007257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.