Therese Jarvi, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178008939 Issued in IL

Practice address

3815 Harrison Ave
Rockford, IL 61108-7631

Phone

(805) 391-1000

Fax

(815) 391-5040

NPI assigned

Dec 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Geiger Psychiatric Care LLC

  • Psychiatry Physician
  • Loves Park, IL
  • NPI 1043356595
  Medicare reassignment NPD
• Progressive Chiropractic Wellness & Rehab Centre, P.C.

  • Point of Service
  • Loves Park, IL
  • NPI 1023206265
  NPD (past)

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1548635865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073877",
            "telephone_number": "815-391-5600",
            "fax_number": "815-316-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 HARRISON AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611087631",
            "telephone_number": "805-391-1000",
            "fax_number": "815-391-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVI",
        "first_name": "THERESE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178008939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayme Janssen, RN, BSN
• Pirojna Jantra, MD
• Madeline Joy Janusevic, DPT
• Berenice Jaquez, LCSW
• Basil Eid Jaradah, M.D.
• Andrzej M Jasek, MD
• Marcin Jasek, D.D.S
• Katarzyna Anna Jasinska, M.D.
• Jason Soriano, Psy.D., P.C.
• Bruce A Jasper, M.D.

• Professional Counselor in Rockford, IL
• Providers in Rockford, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.