Jennifer McComb PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

248001010 Issued in IL

Legal business name

JENNIFER MCCOMB PLLC

Practice address

1830 Sherman Ave Ste 205
Evanston, IL 60201-3771

Phone

(847) 840-9575

NPI assigned

Jun 9, 2015

Organization subpart

No

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

Authorized official

Name

Jennifer McComb, PHDNPI 1922232487

Title

Owner

Phone

(312) 208-9112

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer L McComb, M.SC, LMFT

  • Marriage & Family Therapist
  • Evanston, IL
  • NPI 1922232487
  NPD Authorized official

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1619357241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 JUDSON AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 SHERMAN AVE STE 205",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013771",
            "telephone_number": "847-840-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER MCCOMB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "MCCOMB",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-208-9112",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "248001010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery C. Teich M.D. S.C.
• Mary Tilley Jenkins Vogel, MD
• Jennifer Batza LCSW LTD
• Jennifer C. Panning PSYD PC (Mindful Psychology Associates)
• Jennifer L. McComb Inc.
• Jennifer Senecal Occupational Therapy Services LLC (Process & Path Occupational Therapy Services)
• Jennifer Stevens
• Carol Dianne Jennings, LCPC
• Nancy L. Jensen, PHD
• Stephanie Marie Jensen, MD

• Marriage & Family Therapist in Evanston, IL
• Providers in Evanston, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.