Individual provider Active NPI

Jessica Garlow

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1568039634
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1438 W Belmont Ave Ste 1
Chicago, IL 60657-2166
Phone
(312) 508-3645
NPI assigned
Jun 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1438 W Belmont Ave Ste 1
Chicago, IL 60657-2166

Mailing address

1438 W Belmont Ave Ste 1
Chicago, IL 60657-2166
Phone (312) 508-3645

Other practice location 1

3330 Old Glenview Rd Ste 14
Wilmette, IL 60091-2963
Phone (312) 508-3645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Light on Anxiety, P.C. Mental Health CurrentSince Jun 15, 2021 Accepting new patients
Light on Anxiety PastSince Oct 27, 2019 Accepting new patients

Locations

1438 W Belmont Ave
Ste 1
Chicago, IL 60657
Phone 3125083645 ext. 36

Organizations & group practices 2

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": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1568039634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 W BELMONT AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572166",
            "telephone_number": "312-508-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 W BELMONT AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572166",
            "telephone_number": "312-508-3645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 Old Glenview Rd Ste 14",
            "address_purpose": "LOCATION",
            "city": "Wilmette",
            "state": "IL",
            "postal_code": "600912963",
            "country_code": "US",
            "telephone_number": "312-508-3645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARLOW",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.