Jay F. Wilimek LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

LP0216 Issued in MN

Legal business name

JAY F. WILIMEK LLC

Practice address

1526 30TH St NW
Bemidji, MN 56601-4133

Phone

(218) 751-0887

Fax

(218) 759-4807

NPI assigned

Jan 8, 2013

Organization subpart

No

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

Authorized official

Name

Jay F. Wilimek, PH.D., L.P.

Title

President

Phone

(218) 751-0887

Specialties & licenses 1

Addresses

Other names 1

• Jay F. Wilimek, Ph.D., L.P. Former legal business name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1548507783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 30TH ST. NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014133",
            "telephone_number": "218-751-0887",
            "fax_number": "218-759-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 30TH ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014133",
            "telephone_number": "218-751-0887",
            "fax_number": "218-759-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY F. WILIMEK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "WILIMEK",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-751-0887",
        "authorized_official_credential": "PH.D., L.P."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "LP0216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jay F. Wilimek, Ph.D., L.P.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rachel Mae Jaeger, RN
• Sheri Jahner
• Daniel Janiczak, M.D.
• James Jarmuskewicz, MD
• Jason J Caron MD PA
• Jean C. Christensen
• Tammy Jan Jedlicka, MSW, LICSW
• Erik Stephen Jensen, DPT
• JM Chiropractic LLC
• JMD Psychiatric Nursing Services, Inc.

• Counseling Psychologist in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Counseling Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.