Janice S Benedict PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

JANICE S BENEDICT PLLC

Practice address

6975 Redansa Dr
Rockford, IL 61108-1201

Phone

(815) 398-7000

Fax

(815) 395-0671

NPI assigned

Sep 15, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Janice Strand Benedict, LCSW

Title

Sole Member

Phone

(815) 399-8040

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1548875628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 CORBRIDGE LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073548",
            "telephone_number": "815-399-8040",
            "fax_number": "815-395-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6975 REDANSA DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081201",
            "telephone_number": "815-398-7000",
            "fax_number": "815-395-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANICE S BENEDICT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "BENEDICT",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "STRAND",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "815-399-8040",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Wattles Center (Manhattan Counseling Center)
• Janet Wattles Center
• Janet Wattles Center
• Janet Wattles Center
• Janet Wattles Center
• Jayme Janssen, RN, BSN
• Pirojna Jantra, MD
• Madeline Joy Janusevic, DPT
• Berenice Jaquez, LCSW
• Basil Eid Jaradah, M.D.

• Adult Mental Health Clinic/Center in Rockford, IL
• Providers in Rockford, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.