Jennifer M Vanboxel

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.001668 Issued in IL

Practice address

618 Library PL
Evanston, IL 60201-2908

Phone

(615) 308-9474

NPI assigned

Nov 29, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer White Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1407622665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6342 N SHERIDAN RD UNIT 7A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601753",
            "telephone_number": "615-308-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 LIBRARY PL",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012908",
            "telephone_number": "615-308-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBOXEL",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WHITE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ravi Valluripalli, M.D.
• Stephanie Janae Van Buren, MD
• Melody Charles Van Der Werff, LCPC
• Sarah May Van Nostrand, PSY.D
• Sue Vanags, LMT
• Charlotte Vance, MS, RD, CSCS
• Colleen Vande Hey, PA-C
• Betty Vander Laan
• Kathryn Julia Vanderzwan, MS, APN/CNP
• Jaya Vanga, MA, LPC

• Marriage & Family Therapist in Evanston, IL
• Providers in Evanston, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.