Active NPI
Jason Adams
- Mental Health Counselor
- Naperville, IL
National Provider Identifier
1962050534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naperville Counseling Center | Current | 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.
-
- Professional Counselor
- Naperville, IL
- NPI 1659962777
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.