Andre N Joachim Jr., LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1112 S Washington St Ste 202
Naperville, IL 60540-7960

Phone

(630) 848-1200

NPI assigned

Nov 11, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Lifeskills Counseling Services, LLC

  • Adult Mental Health Clinic/Center
  • Naperville, IL
  • NPI 1053861989
  NPD (past)
• Prizm Behavioral Services, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Naperville, IL
  • NPI 1306007778
  NPD (past)

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1790320067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1104",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601157104",
            "telephone_number": "815-603-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S WASHINGTON ST STE 202",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407960",
            "telephone_number": "630-848-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOACHIM",
        "first_name": "ANDRE",
        "middle_name": "N",
        "name_suffix": "Jr.",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.013202",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Frederick Jimenez, DDS
• Om Jindal, R.PH
• Ning Jing, M.A., CCC-A
• Sandi Ellen Jiongco, APN-CNS
• JM Giga Ventures Inc. (Naperville Senior Center)
• Joanne L Braun PH.D PC
• Jennifer Johantgen
• John F. Jimenez, D.D.S., P.C (Frontier Place Family Dental)
• Robert B John
• Megan K Johnnic

• Mental Health Counselor in Naperville, IL
• Providers in Naperville, 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 Nov 11, 2019; 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.