Individual provider Active NPI

Justin R Feinberg, MA, MDIV

  • Mental Health Counselor
  • Grayslake, IL
National Provider Identifier
1689248361
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1100 E Washington St Ste 101
Grayslake, IL 60030-7963
Phone
(847) 438-4222
NPI assigned
May 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X IL
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1100 E Washington St Ste 101
Grayslake, IL 60030-7963

Mailing address

2065 Half Day Rd # T-742
Deerfield, IL 60015-1241
Phone (631) 456-1137

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240813000390 IL Practitioner - Mental Health Counselor 9830637602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherry Hill Associates, LLCGroup PAC ID 1557523552, 25 clinicians

Practice addresses (Care Compare)

1100 E Washington St
Suite 101
Grayslake, IL 60030-7963
Phone 8473054949102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Hill Associates, LLC CurrentSince Jul 29, 2024 Accepting new patients

Locations

1100 E Washington St
Ste 101
Grayslake, IL 60030
Phone (847) 305-4954

61 S Old Rand Rd
Lake Zurich, IL 60047
Phone (847) 438-4222

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": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1689248361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 HALF DAY RD # T-742",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600151241",
            "telephone_number": "631-456-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E WASHINGTON ST STE 101",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307963",
            "telephone_number": "847-438-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEINBERG",
        "first_name": "JUSTIN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MA, MDIV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

Verify at the official NPI Registry.