Active NPI
Mason JP Acheson
- Behavior Technician
- Crystal Lake, IL
National Provider Identifier
1821830902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 390 E Congress Pkwy Ste M
Crystal Lake, IL 60014-6207 - Phone
- (779) 284-0347
- NPI assigned
- Jun 10, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
390 E Congress Pkwy Ste M
Crystal Lake, IL 60014-6207
Mailing address
390 E Congress Pkwy Ste M
Crystal Lake, IL 60014-6207
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1821830902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 E CONGRESS PKWY STE M",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 E CONGRESS PKWY STE M",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146207",
"telephone_number": "779-284-0347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACHESON",
"first_name": "MASON",
"middle_name": "JP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-10",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal Lake, IL
- Accelerated Rehabilitation Center of Kenosha LTD
- Accelerated Rehabilitation Centers, LTD
- Accuquest Hearing Center, LLC
- Ace Therapy Services of Illinois, Inc.
- Ace Therapy Services of Illinois, Inc.
- Acorn Pediatric Therapy LLC
- Guadalupe Acosta-Lucido
- Adaptive Minds LLC
- Jeremy Adler, MD
- Adr Therapy PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.