Jean Amanda Nalwoga

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1305 E New Indian Trail
Aurora, IL 60505

Phone

(630) 966-4291

NPI assigned

Aug 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Association for Individual Development

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aurora, IL
  • NPI 1821151119
  NPD (past)

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1629624499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 NEW INDIAN TRAIL CT",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605062411",
            "telephone_number": "630-966-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 E NEW INDIAN TRAIL",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60505",
            "telephone_number": "630-966-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALWOGA",
        "first_name": "JEAN",
        "middle_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnalwoga@aidcares.org",
            "affiliation": "N",
            "address_1": "1305 E New Indian Trail",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ho Myong, M.D.
• Myorthos Illinois Orthodontics PC
• Meagan Nadong
• Nageswara R Nagarakanti, M.D
• Manali Naik, APN
• Moon Woo Nam, M.D.
• Kavita Nana, DDS
• Nancy E. Cochran Psy.D LTD
• Naperville Aurora Counseling Center, PLLC
• Joan M Napier, APN-C

• Mental Health Counselor in Aurora, IL
• Providers in Aurora, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.