Active NPI
Jessica D Spieth, LPC
- Professional Counselor
- Oak Lawn, IL
National Provider Identifier
1952475758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 10735 S Cicero Ave
Ste. 208
Oak Lawn, IL 60453-5400 - Phone
- (708) 424-0001
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IL | Primary |
Addresses
Primary practice location
10735 S Cicero Ave
Ste. 208
Oak Lawn, IL 60453-5400
Mailing address
5900 Oakwood Dr
3B
Lisle, IL 60532-3084
Phone (630) 964-6514
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 |
|---|---|---|---|
| 178003110 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Psychological Services,LTD | Past | Accepting new patients | |
| Center for Psychological Services - Oak Lawn LTD | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oak Lawn, IL
- NPI 1386604577
-
- Mental Health Counselor
- Oak Lawn, IL
- NPI 1285874966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952475758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 OAKWOOD DR",
"address_2": "3B",
"city": "LISLE",
"state": "IL",
"postal_code": "605323084",
"telephone_number": "630-964-6514",
"fax_number": "630-964-6514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10735 S CICERO AVE",
"address_2": "STE. 208",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604535400",
"telephone_number": "708-424-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIETH",
"first_name": "JESSICA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.