Organization Active NPI

Jon Poindexter's Spirit, Mind, Body ( SMB Therapy ) Corporation

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1689319451
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JON POINDEXTER'S SPIRIT, MIND, BODY ( SMB THERAPY ) CORPORATION
Practice address
118 N Clinton St Ste 440
Chicago, IL 60661-2392
Phone
(312) 622-6995
NPI assigned
May 4, 2022
Last updated
May 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Mr. Jon Poindexter, LCPCNPI 1295160364
Title
Organization Leader/ Founder
Phone
(312) 622-6995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

118 N Clinton St Ste 440
Chicago, IL 60661-2392

Mailing address

118 N Clinton St Ste 440
Chicago, IL 60661-2392
Phone (312) 622-6995

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1689319451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N CLINTON ST STE 440",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612392",
            "telephone_number": "312-622-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N CLINTON ST STE 440",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612392",
            "telephone_number": "312-622-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON POINDEXTER'S SPIRIT, MIND, BODY ( SMB THERAPY ) CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "POINDEXTER",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "ORGANIZATION LEADER/ FOUNDER",
        "authorized_official_telephone_number": "312-622-6995",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 May 4, 2022; 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.