Jill Adriane Moody, M.S., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.010378 Issued in IL

Practice address

12 Health Services Dr
Dekalb, IL 60115-9637

Phone

(815) 756-4875

NPI assigned

Oct 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1699179820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 S 4TH ST APT 4",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153775",
            "telephone_number": "217-972-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HEALTH SERVICES DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159637",
            "telephone_number": "815-756-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "JILL",
        "middle_name": "ADRIANE",
        "credential": "M.S., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.010378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Karan Mohindra, MD
• Kari A. Moll, LPC
• Daniel Monaghan, D.C.
• Mondi & Associates Inc. (Home Instead)
• Brenda Kay Monroy, LMSW
• Gillian Moore
• James Peter Moore, PTA
• Sara Mora
• Gabrielle J Moreno, BS
• Alysia A Moret-Schmerbach, APRN, CNP

• Mental Health Counselor in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.