Janelle Otero

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2600 Ridgeland Ave
Berwyn, IL 60402-2725

Phone

(708) 317-5926

NPI assigned

Apr 10, 2020

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

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Omni Youth Services, Inc.

  dba EDGE Counseling Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Buffalo Grove, IL
  • NPI 1124401179
  Medicare reassignment NPD
• Pilsen-Little Village Community Mental Health Center, Inc.

  dba Pilsen Wellness Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Berwyn, IL
  • NPI 1225418577
  NPD (past)

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1629697578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 N KOLMAR AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606415216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 RIDGELAND AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022725",
            "telephone_number": "708-317-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO",
        "first_name": "JANELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscar Linares, M.D., P.C. (Berwyn Pediatrics)
• Claudia Osorio, D.D.S.
• Allison Ostrander, PHARM. D
• Randall Ostroff, MD
• Faith Ostrowski
• Stephanie Diana Owsiak
• Lindsay Zehra Ozgunay, CRNA
• Bella Y Padaoan, CRNA
• Jeevana Jahnavi Pakanati, MD
• Sarah Marie Palazzolo, L.AC.

• Professional Counselor in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.