Faith Jefferson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

9453 S Ashland Ave
Suite 14
Chicago, IL 60620-5146

Phone

(773) 238-5555

Fax

(773) 238-5533

NPI assigned

Sep 17, 2014

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1871995217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6639 S INGLESIDE AVE",
            "address_2": "APT. 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606374265",
            "telephone_number": "773-425-1196",
            "fax_number": "773-238-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9453 S ASHLAND AVE",
            "address_2": "SUITE 14",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606205146",
            "telephone_number": "773-238-5555",
            "fax_number": "773-238-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "FAITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jefferson Park Medical Center, LTD.
• Jefferson Park Medical Group, P.C.
• Tanya Jefferson-Fitts
• Serena Jefferson-Jackson
• Deborah Bishop Jefferson, APN-CNP
• Janelle Jefferson, L.AC
• Persell Jefferson
• Tammi Jefferson, OTR/L
• Jeffery Dental Center
• Jeffrey a Arnold, DDS, PC

• Addiction (Substance Use Disorder) Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Addiction (Substance Use Disorder) Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.