Mending Spot PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MENDING SPOT PLLC

Practice address

11621 S Maplewood Ave
Chicago, IL 60655-1523

Phone

(773) 636-5774

NPI assigned

Apr 1, 2024

Last updated

Aug 28, 2024By 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

Mrs. Jacqueline Christine White, LCPC

Title

Mental Health Therapist

Phone

(773) 636-5774

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Christine Allen, QMHP

  • Professional Counselor
  • Chicago, IL
  • NPI 1194230912
  NPD

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1437900818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11621 S MAPLEWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606551523",
            "telephone_number": "773-636-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11621 S MAPLEWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606551523",
            "telephone_number": "773-636-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING SPOT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "773-636-5774",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Luis Mendez, LCPC
• Victoria R. Mendez, BCBA
• Chanda Mendi, M. D.
• Luna Lucila Mendia
• Ginalyn G Mendillo
• Michelle Alexandra Mendiola-Pla, MD
• Janelle Mendiola, RN
• Mark Anthony Manuel Mendiola, D.D.S.
• Luis Andre Mendonca Mezzomo, DR.
• Rohini Hilaire Mendonca, MD

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.