Jasclyn N Coney, M.A., M.DIV

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

935 175TH St Ste 300
Homewood, IL 60430-2073

Phone

(708) 885-9288

NPI assigned

Apr 24, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1497375844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14520 DORCHESTER AVE",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604192442",
            "telephone_number": "609-356-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 175TH ST STE 300",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302073",
            "telephone_number": "708-885-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONEY",
        "first_name": "JASCLYN",
        "middle_name": "N",
        "credential": "M.A., M.DIV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.psychologytoday.com/us/therapists/jasclyn-coney-homewood-il/749795?preview=1&return_to=h",
            "affiliation": "N",
            "endpointDescription": "Therapist Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Therapist Profile/Services",
            "address_1": "935 175th St Ste 300",
            "city": "Homewood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604302073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://jasclynnichelleministries.com",
            "affiliation": "N",
            "endpointDescription": "Therapist Profile/Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Therapist Profile/Services",
            "address_1": "14520 Dorchester Ave",
            "city": "Dolton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604192442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Homewood, IL
• Providers in Homewood, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.