Orland Park Counselors PC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

ORLAND PARK COUNSELORS PC

Practice address

7021 W 153Rd St Ste 5
Orland Park, IL 60462-5397

Phone

(708) 275-0934

NPI assigned

Nov 18, 2021

Last updated

Nov 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Michael Jenkins, LCPCNPI 1043378250

Title

President

Phone

(708) 275-0934

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Michael Jenkins, M.A.

  • Professional Counselor
  • Oak Forest, IL
  • NPI 1043378250
  Medicare reassignment Care Compare group NPD Authorized official
• Oluyemi Samson Adeagbo

  • Psychiatric/Mental Health Nurse Practitioner
  • Downers Grove, IL
  • NPI 1962371740
  Medicare reassignment Care Compare group NPD
• Eve Kathryn Brownstone, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1811904055
  Medicare reassignment NPD
• Maria Kathryn Kroener, MAA, NCC, CADC, CPRS

  • Mental Health Counselor
  • Joliet, IL
  • NPI 1750162996
  Medicare reassignment

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1982361408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 764",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "609500764",
            "telephone_number": "708-275-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7021 W 153RD ST STE 5",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625397",
            "telephone_number": "708-275-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLAND PARK COUNSELORS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-275-0934",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.