NPIMap

Organization Active NPI

Jessica Whelan LLC

Doing business as Holon Inclusive Health System

  • Specialist
  • Columbia, IL
National Provider Identifier
1760018774
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
JESSICA WHELAN LLC
Doing business as
Holon Inclusive Health System
Practice address
207 N Main St Ste 109B
Columbia, IL 62236-1755
Phone
(314) 470-1220
Fax
(833) 914-0432
NPI assigned
Mar 21, 2020
Last updated
Nov 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Dr. Jessica Ann Whelan
Title
Ceo
Phone
(314) 470-1220

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Counseling Psychologist 103TC1900X NU
Group Psychotherapy Psychologist 103TP2701X NU
Specialist 174400000X NU Primary
Pharmacist 183500000X NU
Public Health & General Preventive Medicine Physician 2083P0901X NU
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X NU
Child & Adolescent Psychiatry Physician 2084P0804X NU
Nursing Care Agency 251J00000X NU
Multi-Specialty Clinic/Center 261QM1300X NU
Research Clinic/Center 261QR1100X NU
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X NU
In Home Supportive Care Agency 253Z00000X NU
Case Manager/Care Coordinator 171M00000X NU
Brain Injury Medicine (Psychiatry & Neurology) Physician 2084P0301X NU

Addresses

Primary practice location

207 N Main St Ste 109B
Columbia, IL 62236-1755

Mailing address

PO Box 242
Grover, MO 63040-0242
Phone (636) 236-5128

Other practice location 1

16549 Clayton Rd
Wildwood, MO 63011-1720
Phone (314) 470-1220

Other practice location 2

117 S Lexington St Ste 100
Harrisonville, MO 64701-2444
Phone (314) 470-1220

Other practice location 3

301 S Main St
Dupo, IL 62239-1325
Phone (314) 470-1220

Other practice location 4

16549 Clayton Rd
Wildwood, MO 63011-1720
Phone (314) 470-1220

Other practice location 5

2501 Chatham Rd Ste R
Springfield, IL 62704-4188
Phone (314) 470-1220

Other identifiers 3

IdentifierTypeStateIssuer
500089936MedicaidMO
6982159OtherMOAETNA - MEDICAID
735518OtherIDMCKESSON SUBMITTER ID

Other names 1

  • Holon Inclusive Health System Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dr.jessica.whelan.1@21369.direct.athenahealth.com Direct Jessica Whelan LLC

National Provider Directory

National Provider Directory

Locations

207 N Main St
Ste 109B
Columbia, IL 62236
Phone (314) 470-1220

NPI Registry JSON

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1760018774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242",
            "city": "GROVER",
            "state": "MO",
            "postal_code": "630400242",
            "telephone_number": "636-236-5128",
            "fax_number": "636-242-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N MAIN ST STE 109B",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361755",
            "telephone_number": "314-470-1220",
            "fax_number": "833-914-0432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16549 Clayton Rd",
            "address_purpose": "LOCATION",
            "city": "Wildwood",
            "state": "MO",
            "postal_code": "630111720",
            "country_code": "US",
            "telephone_number": "314-470-1220",
            "fax_number": "833-914-0432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 S Lexington St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Harrisonville",
            "state": "MO",
            "postal_code": "647012444",
            "country_code": "US",
            "telephone_number": "314-470-1220",
            "fax_number": "636-242-5095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 S Main St",
            "address_purpose": "LOCATION",
            "city": "Dupo",
            "state": "IL",
            "postal_code": "622391325",
            "country_code": "US",
            "telephone_number": "314-470-1220",
            "fax_number": "833-914-0432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16549 Clayton Rd",
            "address_purpose": "LOCATION",
            "city": "Wildwood",
            "state": "MO",
            "postal_code": "630111720",
            "country_code": "US",
            "telephone_number": "314-470-1220",
            "fax_number": "636-242-5095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Chatham Rd Ste R",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627044188",
            "country_code": "US",
            "telephone_number": "314-470-1220",
            "fax_number": "833-914-0432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JESSICA WHELAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-21",
        "last_updated": "2021-11-19",
        "certification_date": "2021-09-26",
        "status": "A",
        "authorized_official_last_name": "WHELAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-470-1220",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0301X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Brain Injury Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500089936",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - MEDICAID",
            "identifier": "6982159",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCKESSON SUBMITTER ID",
            "identifier": "735518",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.jessica.whelan.1@21369.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "athena direct address",
            "affiliationName": "Jessica Whelan LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 S Main St",
            "city": "Dupo",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622391325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Holon Inclusive Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holon Inclusive Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.