Active NPI
Jon Difatta
- Counselor
- Algonquin, IL
National Provider Identifier
1467877928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178.006488
- Practice address
- 214 N Main St
Algonquin, IL 60102-2449 - Phone
- (847) 854-4333
- Fax
- (847) 854-4334
- NPI assigned
- Feb 20, 2014
- Last updated
- Feb 20, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178.006488 | IL | Primary |
Addresses
Primary practice location
214 N Main St
Algonquin, IL 60102-2449
Mailing address
214 N Main St
Algonquin, IL 60102-2449
Phone (847) 854-4333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.006488 | IL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1467877928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 N MAIN ST",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601022449",
"telephone_number": "847-854-4333",
"fax_number": "847-854-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 N MAIN ST",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601022449",
"telephone_number": "847-854-4333",
"fax_number": "847-854-4334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIFATTA",
"first_name": "JON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-20",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178.006488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Algonquin, IL
- Dental Professionals of Algonquin, P.C.
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- Raj Ajay Desai
- Diamond Physical Therapy and Rehabilitation, PC
- Diana F Penuela-Oneill PC (Northwest Eyecare 1)
- Lynda Dinh
- Deidre R Dobbels, M.S. CCC-SLP
- Kristen L Dolder, PA-C
- Maria Melina Dominguez, LCPC
- Dr Dawn Wickizer and Associates LLC (Dawn Wickizer)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.