JMG Associates, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.008983 Issued in IL

Legal business name

JMG ASSOCIATES, LLC

Practice address

100 Illinois St
Suite 200
St Charles, IL 60174-1866

Phone

(773) 570-0596

Fax

(844) 355-7795

NPI assigned

Jul 14, 2016

Last updated

Jul 14, 2016By 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

Jonathon M Gruszeczki, LCPC

Title

Owner

Phone

(773) 570-0596

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1407209414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ILLINOIS ST",
            "address_2": "SUITE 200",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741866",
            "telephone_number": "773-570-0596",
            "fax_number": "844-355-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ILLINOIS ST",
            "address_2": "SUITE 200",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741866",
            "telephone_number": "773-570-0596",
            "fax_number": "844-355-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMG ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "GRUSZECZKI",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-570-0596",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in St Charles, IL
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• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.