Jerome Douglas Iverson, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

3375 N Arlington Heights Rd Ste F
Arlington HTS, IL 60004-7701

Phone

(847) 577-4530

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arlington Counseling Associates, LTD

  • Clinical Psychologist
  • Arlington Heights, IL
  • NPI 1437243094
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760500052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 N ARLINGTON HEIGHTS RD STE F",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600047701",
            "telephone_number": "847-577-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 N ARLINGTON HEIGHTS RD STE F",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600047701",
            "telephone_number": "847-577-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSON",
        "first_name": "JEROME",
        "middle_name": "DOUGLAS",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lebab Helay
• Sarah Hill, DPT
• Laurel Beth Holze, PA
• Kiera Alison Iannantuoni, MD
• International Helathcare Alliance LLC
• Janeen M Samartno
• Steven Todd Jensen
• Joann F Hamm OD PC
• Rhea Jukes, OD
• Sergey Kachar, DO

• All providers in Arlington HTS, IL
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.