Individual provider Active NPI

Jacob Janik, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mokena, IL
National Provider Identifier
1518859107
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209032650 Issued in IL
Practice address
11105 W Elmwood CT
Mokena, IL 60448-9215
Phone
(815) 557-0664
NPI assigned
Jul 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209032650 IL Primary

Addresses

Primary practice location

11105 W Elmwood CT
Mokena, IL 60448-9215

Mailing address

11105 W Elmwood CT
Mokena, IL 60448-9215

Other names 1

  • Mr. Jake Janik Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251023001246 IL Practitioner - Nurse Practitioner 0648768408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMS Clinical Services PLLCGroup PAC ID 7517395064, 30 clinicians

Practice addresses (Care Compare)

1100 Jorie Blvd
Suite 300
Oak Brook, IL 60523-2219
Phone (630) 974-6602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209032650ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMS Clinical Services PLLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

1100 Jorie Blvd
Ste 300
Oak Brook, IL 60523
Phone (224) 900-7867

409 Illinois Ave
Unit 1D
St Charles, IL 60174
Phone (855) 205-4764

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1518859107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11105 W ELMWOOD CT",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11105 W ELMWOOD CT",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489215",
            "telephone_number": "815-557-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANIK",
        "first_name": "JACOB",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209032650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "JANIK",
            "prefix": "MR.",
            "credential": "PMHNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mokena, IL

Sources for this page

Verify at the official NPI Registry.