Individual provider Active NPI

Jaime Cox

  • Clinical Social Worker
  • Bloomington, IL
National Provider Identifier
1952191496
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.029164 Issued in IL
Practice address
203 Leland St
Bloomington, IL 61701-5643
Phone
(815) 324-4770
Fax
(815) 390-7773
NPI assigned
May 8, 2025
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.029164 IL Primary

Addresses

Primary practice location

203 Leland St
Bloomington, IL 61701-5643

Mailing address

203 Leland St
Bloomington, IL 61701-5643
Phone (815) 324-4770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250820003869 IL Practitioner - Clinical Social Worker 2769982230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Sondermind PCGroup PAC ID 0547795791, 64 clinicians

Practice addresses (Care Compare)

416 Main St
Suite 601
Peoria, IL 61602-3126
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.029164ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC Clinical CurrentSince Jul 1, 2025 Accepting new patients
Lumen Bloom Therapy, PLLC Clinical CurrentSince Jul 9, 2025 Accepting new patients

Locations

416 Main St
Ste 601
Peoria, IL 61602
Phone (309) 945-3305

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1952191496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 LELAND ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015643",
            "telephone_number": "815-324-4770",
            "fax_number": "815-390-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 LELAND ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015643",
            "telephone_number": "815-324-4770",
            "fax_number": "815-390-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "JAIME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-08",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.029164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.