Active NPI
Jesse L Munoz, LCSW
- Mental Health Counselor
- Orland Park, IL
National Provider Identifier
1649390675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 14400 John Humphrey Dr
Suite 200
Orland Park, IL 60462-2897 - Phone
- (708) 226-1360
- NPI assigned
- Mar 31, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | IL | Primary |
Addresses
Primary practice location
14400 John Humphrey Dr
Suite 200
Orland Park, IL 60462-2897
Mailing address
14534 S Emerald Ave
Riverdale, IL 60827-2619
Other names 1
- Jesus L Munoz
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7808 W College Dr
Suite 2
Palos Heights, IL 60463-1027
Phone (708) 361-5110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149001499 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The McGrath Clinic | Past | Accepting new patients | |
| The McGrath Clinic S C | Mental Health | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Palos Heights, IL
- NPI 1003256462
-
- Psychiatric Hospital Unit
- Orland Park, IL
- NPI 1265585400
-
- Mental Health Counselor
- Orland Park, IL
- NPI 1952452971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649390675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14534 S EMERALD AVE",
"city": "RIVERDALE",
"state": "IL",
"postal_code": "608272619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14400 JOHN HUMPHREY DR",
"address_2": "SUITE 200",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622897",
"telephone_number": "708-226-1360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNOZ",
"first_name": "JESSE",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESUS",
"last_name": "MUNOZ",
"middle_name": "L",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.