Active NPI
JFSW, Inc.
- Marriage & Family Therapist
- River Forest, IL
National Provider Identifier
1508931478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166-000517
- Legal business name
- JFSW, INC.
- Practice address
- 7627 Lake St Ste 213
River Forest, IL 60305-1878 - Phone
- (708) 488-8000
- NPI assigned
- Nov 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Richelle Marie Williams, LCPC, LMFT, CADC
- Title
- President
- Phone
- (708) 488-8000
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180-003418 | IL | |
| Marriage & Family Therapist | 106H00000X | 166-000517 | IL | Primary |
Addresses
Primary practice location
7627 Lake St Ste 213
River Forest, IL 60305-1878
Mailing address
3648 Gunderson Ave
Berwyn, IL 60402-3878
Phone (708) 788-1180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01633354 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
7627 Lake St
Ste 213
River Forest, IL 60305
Phone (708) 488-8000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- River Forest, IL
- NPI 1588840615
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233100800000",
"number": "1508931478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3648 GUNDERSON AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023878",
"telephone_number": "708-788-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7627 LAKE ST STE 213",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "603051878",
"telephone_number": "708-488-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JFSW, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2009-01-28",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "RICHELLE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-488-8000",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCPC, LMFT, CADC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-003418",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166-000517",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "01633354",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in River Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.