Active NPI
Melissa S Kostial-Janos P.C.
Doing business as Melissa S Kostial-Janos LCSW ACSW
- Adult Mental Health Clinic/Center
- Gurnee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 149001506
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Susan Kostial-Janos, LCSW ACSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Gurnee, IL
- NPI 1811164783
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.