Jimare Wellness, Inc

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

JIMARE WELLNESS, INC

Doing business as

Jimare Wellness Counseling Center

Practice address

5915 W Cermak Rd
Cicero, IL 60804-2136

Phone

(708) 391-5505

Fax

(708) 433-4441

NPI assigned

Jul 12, 2022

Organization subpart

No

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

Authorized official

Name

Mr. James W Miller, CADC

Title

Director

Phone

(708) 391-5505

Specialties & licenses 2

Addresses

Other names 1

• Jimare Wellness Counseling Center Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1952035255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6238 26TH ST UNIT 305",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604025402",
            "telephone_number": "708-391-5505",
            "fax_number": "708-433-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042136",
            "telephone_number": "708-391-5505",
            "fax_number": "708-433-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMARE WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-391-5505",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "app.zoobooksystems.com",
            "affiliation": "Y",
            "endpointDescription": "Electronic Health Record",
            "affiliationName": "Zoobook Systems",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Online record",
            "address_1": "5915 W Cermak Rd",
            "city": "Cicero",
            "state": "IL",
            "country_code": "US",
            "postal_code": "608042136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jimare Wellness Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jimare Wellness Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherin B Jacob, DDS
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• Eugene Mario Jao, D.C.
• Robert Dennis Jaskula, LCSW
• Sofia Jauregui
• Patrick Johnston, DC
• Aisha Joyner
• Zalika Atiya Joyner
• JRD-RX, LLC
• Louise Marie Judge

• Addiction (Substance Use Disorder) Counselor in Cicero, IL
• Providers in Cicero, IL by specialty
• Addiction (Substance Use Disorder) Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.