Active NPI
Jon Poindexter's Spirit, Mind, Body ( SMB Therapy ) Corporation
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1689319451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jon Poindexter, LCPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryPractitioners & 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.
-
- Professional Counselor
- Chicago, IL
- NPI 1295160364
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.