Organization Active NPI

MJ Counseling LTD

  • Adult Mental Health Clinic/Center
  • St Charles, IL
National Provider Identifier
1982482725
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MJ COUNSELING LTD
Doing business as
Marissa Millonzi
Practice address
40W927 Il Route 64
St Charles, IL 60175-5314
Phone
(310) 993-5230
NPI assigned
Sep 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Marissa Jepsen, LCSW
Title
President
Phone
(310) 993-5230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

40W927 Il Route 64
St Charles, IL 60175-5314

Mailing address

40W927 Il Route 64
St Charles, IL 60175-5314
Phone (310) 993-5230

Other names 1

  • Marissa Millonzi Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1982482725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40W927 IL ROUTE 64",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601755314",
            "telephone_number": "310-993-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40W927 IL ROUTE 64",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601755314",
            "telephone_number": "310-993-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ COUNSELING LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "JEPSEN",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-993-5230",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marissa Millonzi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.