Jessica Weisbach, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JESSICA WEISBACH, LLC

Practice address

2257 N Kedzie Blvd Apt 3
Chicago, IL 60647-2561

Phone

(847) 971-4314

NPI assigned

Oct 4, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Jessica Weisbach, LCSWNPI 1972023109

Title

Owner/Mental Health Therapist

Phone

(847) 971-4314

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Weisbach, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1972023109
  NPD Authorized official

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

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601769600000",
    "number": "1881291789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 N KEDZIE BLVD APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472561",
            "telephone_number": "847-971-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 N KEDZIE BLVD APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472561",
            "telephone_number": "847-971-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA WEISBACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-04",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A",
        "authorized_official_last_name": "WEISBACH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "847-971-4314",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica M Nguyen DMD MPH PC
• Jessica Mehta, D.D.S. P.C.
• Jessica Roeder LCSW PLLC
• Jessica Twitchell Psychotherapist
• Jessica Vargas DDS PLLC
• Jessie Brown Memoria VA Hospital
• Jessie L Mabaquiao MD
• Patricia D. Jessie, L.C.P.C.
• Maureen Jesuthasan, LPC
• Pim Jetanalin, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; 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.