Individual provider Active NPI

Jody L Janosik, LCSW, LPHA

  • Mental Health Counselor
  • Decatur, IL
National Provider Identifier
1891185591
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
149.016828 Issued in IL
Practice address
335 E Wood St.
Suite B
Decatur, IL 62523
Phone
(217) 422-6908
Fax
(217) 422-7103
NPI assigned
Feb 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 149.016828 IL Primary

Addresses

Primary practice location

335 E Wood St.
Suite B
Decatur, IL 62523

Mailing address

335 E Wood St
Ste B
Decatur, IL 62523-1431
Phone (217) 465-4118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.016828ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pleasant Counseling LLC CurrentSince Oct 1, 2021 Accepting new patients
Keri Powell Therapy Inc Mental Health CurrentSince Sep 22, 2022 Accepting new patients

Locations

2125 S Neil St
Champaign, IL 61820
Phone (217) 356-3736

335 E Wood St
Ste B
Decatur, IL 62523
Phone (217) 422-6908

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1891185591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E WOOD ST",
            "address_2": "STE B",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625231431",
            "telephone_number": "217-465-4118",
            "fax_number": "217-463-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E WOOD ST.",
            "address_2": "SUITE B",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62523",
            "telephone_number": "217-422-6908",
            "fax_number": "217-422-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANOSIK",
        "first_name": "JODY",
        "middle_name": "L",
        "credential": "LCSW, LPHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149.016828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.