Mari Jo Wittum, MCP LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

528 S Batavia Ave
Batavia, IL 60510-2921

Phone

(630) 482-9699

NPI assigned

May 11, 2007

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Bliss Practice LLC

  • Professional Counselor
  • Saint Charles, IL
  • NPI 1093122426
  NPD (past) Authorized official
• Suicide Prevention Services

  • Community/Behavioral Health Agency
  • Batavia, IL
  • NPI 1518277953
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902011281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 PRAIRIE ST",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601743705",
            "telephone_number": "630-377-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 S BATAVIA AVE",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605102921",
            "telephone_number": "630-482-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTUM",
        "first_name": "MARI",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "MCP LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudette Williams
• Roxanne Rae Willis, PHD, LSW
• Erica Christine Wilson
• George Wilson
• Catherine D Winters, MS, CCC-SLP
• Woodfield Ortho Services LLC
• Daniel Victor Wright, DMD
• George Randall Wright, DDS, MS
• Rena Myers Wright
• Dawn Marie Yarbrough, STUDENT

• Mental Health Counselor in Batavia, IL
• Providers in Batavia, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.