Individual provider Active NPI

Rachael Erin Martin Jones, LMFT

  • Mental Health Counselor
  • Mount Prospect, IL
National Provider Identifier
1689205742
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
166001480 Issued in IL
Practice address
1227 W Glenn LN
Mount Prospect, IL 60056-4062
Phone
(847) 707-3195
NPI assigned
Jan 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 208.000793 IL
Mental Health Counselor 101YM0800X 166001480 IL Primary

Addresses

Primary practice location

1227 W Glenn LN
Mount Prospect, IL 60056-4062

Mailing address

1227 W Glenn LN
Mount Prospect, IL 60056-4062
Phone (847) 707-3195

Other identifiers 1

IdentifierTypeStateIssuer
166001480OtherILILLINOIS STATE LICENSE

Other names 1

  • Rachael Erin Martin Former 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
166001480ILMDMental Health Counselor
208.000793ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trailhead Therapy PLLC CurrentSince Sep 28, 2021 Accepting new patients
North Shore Family Services, LLC Clinical PastSince Apr 26, 2020 Accepting new patients
North Shore Family Services Clinical PastSince Dec 28, 2022 Accepting new patients

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": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1689205742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 W GLENN LN",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564062",
            "telephone_number": "847-707-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 W GLENN LN",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564062",
            "telephone_number": "847-707-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "RACHAEL",
        "middle_name": "ERIN MARTIN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "208.000793",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "166001480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS STATE LICENSE",
            "identifier": "166001480",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "MARTIN",
            "middle_name": "ERIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.