NPIMap

Organization Active NPI

The Juniper Center PC

Doing business as The Center for Relationship Health Margo M Jacquot Psyd CSADC

  • Mental Health Counselor
  • Park Ridge, IL
National Provider Identifier
1902906324
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE JUNIPER CENTER PC
Doing business as
The Center for Relationship Health Margo M Jacquot Psyd CSADC
Practice address
1440 Renaissance Drive
Suite 320
Park Ridge, IL 60068-1471
Phone
(847) 759-9110
Fax
(847) 759-9440
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Dr. Margo M. Jacquot, PSY DNPI 1487873345
Title
President
Phone
(847) 759-9110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X

Addresses

Primary practice location

1440 Renaissance Drive
Suite 320
Park Ridge, IL 60068-1471

Mailing address

1440 Renaissance Drive
Suite 320
Park Ridge, IL 60068-1471
Phone (847) 759-9110

Other names 1

  • The Center for Relationship Health Margo M Jacquot Psyd CSADC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101130000757 IL Part B Supplier - Clinic/Group Practice 1557557725 Receives reassigned benefits from 36 practitioners
Practice locations: Park Ridge, IL

National Provider Directory

National Provider Directory

Locations

1440 Renaissance Dr
Ste 320
Park Ridge, IL 60068
Phone (847) 759-9110

Practitioners & affiliated clinicians

Practitioners 77

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 77

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1902906324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 RENAISSANCE DRIVE",
            "address_2": "SUITE 320",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681471",
            "telephone_number": "847-759-9110",
            "fax_number": "224-985-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 RENAISSANCE DRIVE",
            "address_2": "SUITE 320",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681471",
            "telephone_number": "847-759-9110",
            "fax_number": "847-759-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JUNIPER CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "JACQUOT",
        "authorized_official_first_name": "MARGO",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-759-9110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Relationship Health Margo M Jacquot Psyd CSADC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Center for Relationship Health Margo M Jacquot Psyd CSADC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.