Individual provider Active NPI

Jamie Gilmartin, L.C.P.C, C.A.D.C.

  • Professional Counselor
  • Palos Heights, IL
National Provider Identifier
1669834701
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.00993 Issued in IL
Practice address
7300 W College Dr
# 203
Palos Heights, IL 60463-1152
Phone
(708) 448-7848
NPI assigned
Mar 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 29773 IL
Professional Counselor 101YP2500X 180.00993 IL Primary

Addresses

Primary practice location

7300 W College Dr
# 203
Palos Heights, IL 60463-1152

Mailing address

6239 W 94TH St
Apartment 1N
Oak Lawn, IL 60453-2248
Phone (708) 574-3437

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
29773ILMDAddiction (Substance Use Disorder) Counselor
180.00993ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Enrichment Center Past Accepting new patients

Organizations & group practices 1

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1669834701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6239 W 94TH ST",
            "address_2": "APARTMENT 1N",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532248",
            "telephone_number": "708-574-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 W COLLEGE DR",
            "address_2": "# 203",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631152",
            "telephone_number": "708-448-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMARTIN",
        "first_name": "JAMIE",
        "name_prefix": "Ms.",
        "credential": "L.C.P.C, C.A.D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "29773",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.00993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.