Jill Davis-Kuzmanich

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

125 S 4TH St
Oregon, IL 61061-1609

Phone

(815) 732-3157

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of Southern California Keck School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Enriching Wellness LLCGroup PAC ID 5092134411, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Enriching Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sycamore, IL
  • NPI 1134741358
  Medicare reassignment Care Compare group NPD Authorized official
• Passion for Living Counseling Services LLC

  • Community/Behavioral Health Agency
  • Sycamore, IL
  • NPI 1457869679
  NPD

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1679009435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 FORSYTHE LN",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S 4TH ST",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610611609",
            "telephone_number": "815-732-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-KUZMANICH",
        "first_name": "JILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Randall Cates, D.C., M.S.
• Couch to Couch Counseling
• County of Ogle
• John Brian Crisham, D.M.D.
• Krane T Cupples, D.C.
• Connie Kaye Davis, BA, MHP
• David R Deforest, DDS
• Jessica Devries, B.A., MHP
• Dr Katherine Bailey DPM PC
• Rebecca Duke

• Social Worker in Oregon, IL
• Providers in Oregon, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.

Verify at the official NPI Registry.