Individual provider Active NPI

Jurgent Meythaler, LCSW, CADC, NARM

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1659042380
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.027736 Issued in IL
Practice address
53 W Jackson Blvd Ste 1440
Chicago, IL 60604-3538
Phone
(312) 593-0419
Fax
(312) 235-1611
NPI assigned
Sep 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.027736 IL Primary

Addresses

Primary practice location

53 W Jackson Blvd Ste 1440
Chicago, IL 60604-3538

Mailing address

53 W Jackson Blvd Ste 1440
Chicago, IL 60604-3538
Phone (312) 593-0419

Other names 1

  • Jay Meythaler Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.027736ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jay Meythaler Psychotherapy PLLC Clinical CurrentSince Aug 25, 2025 Accepting new patients
Head Heart Therapy Inc Clinical PastSince Sep 28, 2021 Accepting new patients
Polina Reyngold, LTD Past Accepting new patients

Locations

53 W Jackson Blvd
Ste 1440
Chicago, IL 60604
Phone (312) 593-0419

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1659042380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 1440",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043538",
            "telephone_number": "312-593-0419",
            "fax_number": "312-235-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 1440",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043538",
            "telephone_number": "312-593-0419",
            "fax_number": "312-235-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYTHALER",
        "first_name": "JURGENT",
        "name_prefix": "Mr.",
        "credential": "LCSW, CADC, NARM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.027736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "MEYTHALER",
            "credential": "LCSW, CADC, NARM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.