Individual provider Active NPI

Jason Adams

  • Mental Health Counselor
  • Naperville, IL
National Provider Identifier
1962050534
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2132 Deep Water LN Ste 216
Naperville, IL 60564-8569
Phone
(630) 590-9522
NPI assigned
Aug 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2132 Deep Water LN Ste 216
Naperville, IL 60564-8569

Mailing address

2132 Deep Water LN Ste 216
Naperville, IL 60564-8569
Phone (630) 590-9522

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.napervillecounseling.com Other

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

Practice roles

OrganizationSpecialtyStatusNew patients
Naperville Counseling Center CurrentSince Feb 7, 2021 Accepting new patients

Locations

2132 Deep Water Ln
Ste 216
Naperville, IL 60564
Phone (630) 590-9522

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1962050534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 DEEP WATER LN STE 216",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648569",
            "telephone_number": "630-590-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 DEEP WATER LN STE 216",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648569",
            "telephone_number": "630-590-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.napervillecounseling.com",
            "affiliation": "N",
            "endpointDescription": "Naperville Counseling Center website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Clinician Contact information",
            "address_1": "2132 Deep Water Ln Ste 216",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605648569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.