Organization Active NPI

Melissa S Kostial-Janos P.C.

Doing business as Melissa S Kostial-Janos LCSW ACSW

  • Adult Mental Health Clinic/Center
  • Gurnee, IL
National Provider Identifier
1932577376
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
149001506 Issued in IL
Legal business name
MELISSA S KOSTIAL-JANOS P.C.
Doing business as
Melissa S Kostial-Janos LCSW ACSW
Practice address
135 N Greenleaf St
Ste 228
Gurnee, IL 60031-3393
Phone
(224) 603-1199
NPI assigned
Sep 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Melissa Susan Kostial-Janos, LCSW ACSWNPI 1811164783
Title
President/ Owner
Phone
(224) 603-1199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 149001506 IL Primary

Addresses

Primary practice location

135 N Greenleaf St
Ste 228
Gurnee, IL 60031-3393

Mailing address

1191 Blue Heron Cir
Antioch, IL 60002-6403
Phone (708) 308-3938

Other names 1

  • Melissa S Kostial-Janos LCSW ACSW Doing business as

National Provider Directory

National Provider Directory

Locations

135 N Greenleaf St
Ste 208
Gurnee, IL 60031
Phone (224) 603-1199

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1932577376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 BLUE HERON CIR",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600026403",
            "telephone_number": "708-308-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N GREENLEAF ST",
            "address_2": "STE 228",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313393",
            "telephone_number": "224-603-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA S KOSTIAL-JANOS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "KOSTIAL-JANOS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "224-603-1199",
        "authorized_official_credential": "LCSW ACSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "149001506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melissa S Kostial-Janos LCSW ACSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.