Organization Active NPI

Jennifer Martin Anxiety and Ocd Services PLLC

  • Professional Counselor
  • Schaumburg, IL
National Provider Identifier
1821769126
Registry record updated Sep 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JENNIFER MARTIN ANXIETY AND OCD SERVICES PLLC
Practice address
1345 Wiley Rd Ste 124
Schaumburg, IL 60173-4356
Phone
(847) 772-7709
NPI assigned
Sep 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2021

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

Authorized official

Name
Mrs. Jennifer Martin, LCPCNPI 1427615301
Title
Member
Phone
(847) 772-7709

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1345 Wiley Rd Ste 124
Schaumburg, IL 60173-4356

Mailing address

774 W Evergreen CT
Palatine, IL 60067-6769
Phone (847) 772-7709

National Provider Directory

National Provider Directory

Locations

1345 Wiley Rd
Ste 124
Schaumburg, IL 60173
Phone (847) 772-7709

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632614400000",
    "number": "1821769126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 W EVERGREEN CT",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600676769",
            "telephone_number": "847-772-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 WILEY RD STE 124",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734356",
            "telephone_number": "847-772-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER MARTIN ANXIETY AND OCD SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-26",
        "last_updated": "2021-09-26",
        "certification_date": "2021-09-26",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "847-772-7709",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.