Dr. Jackie Jiang Counseling & Evaluation, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180007661 Issued in IL

Legal business name

DR. JACKIE JIANG COUNSELING & EVALUATION, LLC

Practice address

3816 27TH St
Moline, IL 61265-6343

Phone

(309) 944-7833

Fax

(309) 403-0554

NPI assigned

Mar 3, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Zhujun Jiang, PSYD

Title

Owner

Phone

(309) 221-7659

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark D Schmall, D.C.

  • Chiropractor
  • Moline, IL
  • NPI 1104850445
  NPD (past)
• Sean Cass Terry, PSY.D.

  • Clinical Psychologist
  • Mount Prospect, IL
  • NPI 1487665311
  NPD (past)

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1962862953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 27TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656343",
            "telephone_number": "309-944-7833",
            "fax_number": "309-403-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 27TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656343",
            "telephone_number": "309-944-7833",
            "fax_number": "309-403-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JACKIE JIANG COUNSELING & EVALUATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "JIANG",
        "authorized_official_first_name": "ZHUJUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-221-7659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI OF THE CLINICIAN",
            "identifier": "1598954588",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffery Scott Doroba, D.M.D
• Lori Beth Doroba, D.M.D.
• Al R Doyle, MD
• Dr. Chris S. Beckwith, PC
• Dr. Hanumantha R. Kolusu MD, PC
• Thomas G Drabek, PA-C
• Stephen Mark Draminski, L.C.P.C.
• Rebecca Marie Drehman, APRN
• Leslie Drenth, PT
• Laura Driscoll, MA

• Professional Counselor in Moline, IL
• Providers in Moline, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.