Active NPI
James Gerard O'Keefe, M.S.
- Mental Health Counselor
- Evanston, IL
National Provider Identifier
1629227541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.001520
- Practice address
- 2530 Crawford Ave
Suite 308
Evanston, IL 60201-4970 - Phone
- (800) 746-0245
- NPI assigned
- Sep 16, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.001520 | IL | Primary |
Addresses
Primary practice location
2530 Crawford Ave
Suite 308
Evanston, IL 60201-4970
Mailing address
2530 Crawford Ave
Suite 308
Evanston, IL 60201-4970
Phone (800) 746-0245
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.001520 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Life Services, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Evanston, IL
- NPI 1568523207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1629227541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 CRAWFORD AVE",
"address_2": "SUITE 308",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014970",
"telephone_number": "800-746-0245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 CRAWFORD AVE",
"address_2": "SUITE 308",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014970",
"telephone_number": "800-746-0245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'KEEFE",
"first_name": "JAMES",
"middle_name": "GERARD",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-16",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.001520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.