JACQUELINE ANTHONY
NPI 1396337267
Counselor - Mental Health in Chicago Ridge, IL

Active since February 10, 2021
5810 107TH COURT WAY APT 12, CHICAGO RIDGE, IL 60415(708) 973-9149 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2024, Feb 10, 2021 (2 updates tracked since 2021).

About Jacqueline Anthony NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE ANTHONY (NPI 1396337267) is an individual mental health provider in Chicago Ridge, Illinois and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1396337267
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE ANTHONY
Location Address5810 107TH COURT WAY APT 12Chicago Ridge, IL 60415-1944
Mailing Address5810 107th Court Way Apt 12Chicago Ridge, IL 60415-1944 · (708) 973-9149
Sole ProprietorYes
Enumeration DateFebruary 10, 2021
Last NPPES UpdateMarch 4, 20242 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
NPI 1396337267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5810 107TH COURT WAY APT 12, Chicago Ridge, IL 60415

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
5810 107TH COURT WAY APT 12
CHICAGO RIDGE, IL 60415

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Anthony's NPI number?

The NPI number for Jacqueline Anthony is 1396337267. It was assigned to this individual provider in the NPPES registry on February 10, 2021.

Where is Jacqueline Anthony located?

Jacqueline Anthony practices at 5810 107th Court Way Apt 12, Chicago Ridge, IL 60415. The listed phone number is (708) 973-9149.

What is Jacqueline Anthony's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacqueline Anthony was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.