Jane Ward Carlton, M.DIV., MSMFT, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.000821 Issued in IL

Practice address

1363 Shermer Rd Ste 313
Northbrook, IL 60062-4575

Phone

(609) 577-9081

NPI assigned

Mar 17, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rev. Jane Ward Carlton, LMFT, LLC

  • Marriage & Family Therapist
  • Northbrook, IL
  • NPI 1497383525
  NPD Authorized official
• Samaritan Counseling Center

  • Marriage & Family Therapist
  • Winnetka, IL
  • NPI 1841397353
  NPD (past)
• Samaritan Interfaith Counseling Center Inc.

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1497842983
  NPD (past)

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1477852341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 SHERMER RD STE 313",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624575",
            "telephone_number": "609-577-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 SHERMER RD STE 313",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624575",
            "telephone_number": "609-577-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLTON",
        "first_name": "JANE",
        "middle_name": "WARD",
        "name_prefix": "Mrs.",
        "credential": "M.DIV., MSMFT, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-17",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.006148",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.000821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breighanna N Carey, NP
• Carinng Hands Homecare Providers
• John Cariola, M.A.
• Tamra Carlson
• Kristen E Carlstedt, M.S., PT
• Carly Walder, Psy.D., LLC
• Carol Angelescu LCSW Therapy Services Corporation
• Carolyn E. Auffenberg, MD, LLC
• Carolyn Elaine Auffenberg, MD, LLC
• Leonard T Carr, MD

• Marriage & Family Therapist in Northbrook, IL
• Providers in Northbrook, 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 Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.