Active NPI
Jennifer Lewis
- Behavior Analyst
- Lombard, IL
National Provider Identifier
1932509296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 416 W Ethel Ave
Lombard, IL 60148-3204 - Phone
- (630) 613-9221
- NPI assigned
- Aug 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178010059 | IL | |
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
416 W Ethel Ave
Lombard, IL 60148-3204
Mailing address
416 W Ethel Ave
Lombard, IL 60148-3204
Phone (630) 613-9221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178010059 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408752000000",
"number": "1932509296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 W ETHEL AVE",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601483204",
"telephone_number": "630-613-9221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 W ETHEL AVE",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601483204",
"telephone_number": "630-613-9221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-23",
"last_updated": "2014-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178010059",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lombard, IL
- Sarah Levinsky, MS CF-SLP
- Jennifer Agnes Lewanczyk-Terenzio, LCSW
- Deatrice Marie Lewellyan
- Christine Lewis
- Colette Lewis
- Lexington Health Care Center
- Lexington Health Care Center of Lombard Inc
- Lexington Health Care Center of Lombard, Inc.
- Lexington Home Health Care, Inc
- Lexington Hospice Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.