NPIMap

Organization Active NPI

C G Jung Center

  • Counselor
  • Evanston, IL
National Provider Identifier
1992100747
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
C G JUNG CENTER
Practice address
817 Dempster St
Evanston, IL 60201-4303
Phone
(847) 475-4848
NPI assigned
Oct 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Ms. Diane M Miller, LCPCNPI 1164869608
Title
Board Member
Phone
(847) 951-5388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

817 Dempster St
Evanston, IL 60201-4303

Mailing address

817 Dempster St
Evanston, IL 60201-4303
Phone (847) 475-4848

National Provider Directory

National Provider Directory

Locations

817 Dempster St
Evanston, IL 60201
Phone (847) 475-4848

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1992100747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 DEMPSTER ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014303",
            "telephone_number": "847-475-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 DEMPSTER ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014303",
            "telephone_number": "847-475-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C G JUNG CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "847-951-5388",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.