NPIMap

Organization Active NPI

Indivisual Consulting, LLC

  • Behavior Analyst
  • Chicago, IL
National Provider Identifier
1679854087
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1107278
Legal business name
INDIVISUAL CONSULTING, LLC
Practice address
2563 W Argyle St
Unit 2
Chicago, IL 60625-2603
Phone
(773) 332-7382
NPI assigned
Aug 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Authorized official

Name
Jayme Lynn Crooks, MA, BCBA
Title
Founder/President
Phone
(773) 332-7382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1107278 Primary

Addresses

Primary practice location

2563 W Argyle St
Unit 2
Chicago, IL 60625-2603

Mailing address

2563 W Argyle St
Unit 2
Chicago, IL 60625-2603
Phone (773) 332-7382

Other identifiers 1

IdentifierTypeStateIssuer
1790914976MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Bridges Academy LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1679854087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2563 W ARGYLE ST",
            "address_2": "UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252603",
            "telephone_number": "773-332-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2563 W ARGYLE ST",
            "address_2": "UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252603",
            "telephone_number": "773-332-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVISUAL CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "CROOKS",
        "authorized_official_first_name": "JAYME",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT",
        "authorized_official_telephone_number": "773-332-7382",
        "authorized_official_credential": "MA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1107278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790914976",
            "state": "IL"
        }
    ],
    "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 Aug 31, 2011; 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.