Individual provider Active NPI

Jordan E. Cart, M.A.

  • Clinical Psychologist
  • Hinsdale, IL
National Provider Identifier
1982189700
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071010699 Issued in IL
Practice address
15 Spinning Wheel Rd Ste 426
Hinsdale, IL 60521-7671
Phone
(630) 323-3050
Fax
(630) 323-3058
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4148226 WI
Clinical Psychologist 103TC0700X 071010699 IL Primary

Addresses

Primary practice location

15 Spinning Wheel Rd Ste 426
Hinsdale, IL 60521-7671

Mailing address

250 E Ward St Apt 417
Milwaukee, WI 53207-1373
Phone (574) 322-2161

Other practice location 1

430 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 929-2300

Other practice location 2

40 Camelot Dr
Fond Du Lac, WI 54935-8049
Phone (920) 907-8201

Other practice location 3

N4590 Hwy 45
Eden, WI 53019-1212
Phone (920) 904-6445

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4148226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
TMS Psychological Services PC Clinical PastSince Sep 1, 2017 Accepting new patients
Mahala'S Hope, Inc. PastSince Dec 15, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1982189700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E WARD ST APT 417",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532071373",
            "telephone_number": "574-322-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SPINNING WHEEL RD STE 426",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605217671",
            "telephone_number": "630-323-3050",
            "fax_number": "630-323-3058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 E Division St",
            "address_purpose": "LOCATION",
            "city": "Fond Du Lac",
            "state": "WI",
            "postal_code": "549354560",
            "country_code": "US",
            "telephone_number": "920-929-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Camelot Dr",
            "address_purpose": "LOCATION",
            "city": "Fond Du Lac",
            "state": "WI",
            "postal_code": "549358049",
            "country_code": "US",
            "telephone_number": "920-907-8201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "N4590 Hwy 45",
            "address_purpose": "LOCATION",
            "city": "Eden",
            "state": "WI",
            "postal_code": "530191212",
            "country_code": "US",
            "telephone_number": "920-904-6445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CART",
        "first_name": "JORDAN",
        "middle_name": "E.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4148226",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.