Organization Active NPI

Jamie Gilmartin Licensed Clinical Professional Counselor

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oak Forest, IL
National Provider Identifier
1629725809
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JAMIE GILMARTIN LICENSED CLINICAL PROFESSIONAL COUNSELOR
Practice address
14810 Cicero Ave Ste 1D
Oak Forest, IL 60452-1460
Phone
(708) 574-3437
NPI assigned
Mar 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Authorized official

Name
Ms. Jamie Gilmartin, LCPC
Title
Owner
Phone
(708) 574-3437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

14810 Cicero Ave Ste 1D
Oak Forest, IL 60452-1460

Mailing address

6835 Forestview Dr Apt 3D
Oak Forest, IL 60452-1634
Phone (708) 574-3437

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1629725809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6835 FORESTVIEW DR APT 3D",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604521634",
            "telephone_number": "708-574-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14810 CICERO AVE STE 1D",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604521460",
            "telephone_number": "708-574-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE GILMARTIN LICENSED CLINICAL PROFESSIONAL COUNSELOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "GILMARTIN",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-574-3437",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.