JCRX Mental Health Services PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JCRX MENTAL HEALTH SERVICES PLLC

Practice address

1720 Broadway St
Mount Vernon, IL 62864-2930

Phone

(408) 656-0623

NPI assigned

Sep 10, 2024

Organization subpart

No

Name

Jessica Catherine Rodriguex Wellmaker, MA, LCPCNPI 1952177461

Title

Owner

Phone

(408) 656-0623

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

• Jessica Catherine Rodriguex Wellmaker, LCPC, ASOP

  • Professional Counselor
  • Mount Vernon, IL
  • NPI 1952177461
  NPD Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2024.

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1639905409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 MAPLE ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628643547",
            "telephone_number": "408-656-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 BROADWAY ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642930",
            "telephone_number": "408-656-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCRX MENTAL HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEX WELLMAKER",
        "authorized_official_first_name": "JESSICA CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-656-0623",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Jacobs, MD
• Jacques Papazian M.D,S.C.
• Vipin K Jain, MD
• Laci Christine Jankowski, APN
• Cassidy Jo Jansen, PHARMD
• Jefferson County
• Jefferson County Comprehensive
• Jefferson County Comprehensive
• Jefferson County Comprehensive Services Vocational
• Jefferson County Comprehensive SVC

• All providers in Mount Vernon, IL
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.