Organization Active NPI

Rev. Jane Ward Carlton, LMFT, LLC

  • Marriage & Family Therapist
  • Northbrook, IL
National Provider Identifier
1497383525
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
REV. JANE WARD CARLTON, LMFT, LLC
Doing business as
Rev. Jane Ward Carlton, LMFT, LLC
Practice address
1363 Shermer Rd Ste 313
Northbrook, IL 60062-4575
Phone
(609) 577-9081
NPI assigned
Apr 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Authorized official

Name
Mrs. Jane Ward Carlton, LMFTNPI 1477852341
Title
Owner & Psychotherapist
Phone
(609) 577-9081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1363 Shermer Rd Ste 313
Northbrook, IL 60062-4575

Mailing address

1363 Shermer Rd Ste 313
Northbrook, IL 60062-4575
Phone (609) 577-9081

Other names 1

  • Rev. Jane Ward Carlton, LMFT, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1363 Shermer Rd
Ste 313
Northbrook, IL 60062
Phone (609) 577-9081

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1497383525",
    "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": {
        "organization_name": "REV. JANE WARD CARLTON, LMFT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "CARLTON",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "WARD",
        "authorized_official_title_or_position": "OWNER & PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "609-577-9081",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rev. Jane Ward Carlton, LMFT, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.