Individual provider Active NPI

Monica Lee Jasper, LPC

  • Professional Counselor
  • Minooka, IL
National Provider Identifier
1427779271
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.000607 Issued in IL
Practice address
304 W Mondamin St Ste 104
Minooka, IL 60447-4618
Phone
(815) 274-7308
NPI assigned
Sep 9, 2022
Sex
Female
Sole proprietor
No

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
178.000607ILMDProfessional Counselor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.000607 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

304 W Mondamin St Ste 104
Minooka, IL 60447-4618

Mailing address

1741 Waters Edge Dr
Minooka, IL 60447-8208
Phone (779) 279-7834

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
XOF844380991OtherILBLUE CROSS/BLUE SHIELD INSURANCE

Other names 1

NPPES NPI Registry
  • Monica Lee Benson Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 9, 2022.

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1427779271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 WATERS EDGE DR",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604478208",
            "telephone_number": "779-279-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W MONDAMIN ST STE 104",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604474618",
            "telephone_number": "815-274-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASPER",
        "first_name": "MONICA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.000607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD INSURANCE",
            "identifier": "XOF844380991",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "BENSON",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minooka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.