Active NPI
Jillian Perry, MA, LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1679010243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.012070
- Practice address
- 4600 N Clarendon Ave
Apt 508
Chicago, IL 60640-5710 - Phone
- (802) 282-2464
- NPI assigned
- Jan 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.012560 | IL | |
| Professional Counselor | 101YP2500X | 178.012070 | IL | Primary |
Addresses
Primary practice location
4600 N Clarendon Ave
Apt 508
Chicago, IL 60640-5710
Mailing address
4600 N Clarendon Ave
Apt 508
Chicago, IL 60640-5710
Phone (802) 282-2464
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.012070 | IL | MD | Professional Counselor |
| 180.012560 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573776000000",
"number": "1679010243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 N CLARENDON AVE",
"address_2": "APT 508",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405710",
"telephone_number": "802-282-2464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 N CLARENDON AVE",
"address_2": "APT 508",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405710",
"telephone_number": "802-282-2464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "JILLIAN",
"credential": "MA, LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-20",
"last_updated": "2019-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.012560",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.012070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.