Active NPI
Jane Knoche
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1699275313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.011460
- Practice address
- 4611 N Ravenswood Ave Ste 105
Chicago, IL 60640-7569 - Phone
- (708) 738-9594
- NPI assigned
- Feb 19, 2018
- Last updated
- Feb 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.011460 | IL | Primary |
Addresses
Primary practice location
4611 N Ravenswood Ave Ste 105
Chicago, IL 60640-7569
Mailing address
2400 N Lakeview Ave Apt 1705
Chicago, IL 60614-2739
Phone (708) 738-9594
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180.011460 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518998400000",
"number": "1699275313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 N LAKEVIEW AVE APT 1705",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606142739",
"telephone_number": "708-738-9594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4611 N RAVENSWOOD AVE STE 105",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606407569",
"telephone_number": "708-738-9594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOCHE",
"first_name": "JANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-19",
"last_updated": "2018-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.011460",
"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 Feb 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.