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JEFFERSON PARK COUNSELING
NPI 1477140283
Counselor - Professional in Chicago, IL

Active since December 28, 2020
5123 W AINSLIE ST, CHICAGO, IL 60630(773) 707-5833 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jefferson Park Counseling NPPES

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

JEFFERSON PARK COUNSELING (NPI 1477140283) is a healthcare organization registered as a professional in Chicago, Illinois and active in the NPI registry since December 2020. The organization lists William Koch, Owner, as its authorized official.

NPPES Registry Identity

NPI1477140283
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameJEFFERSON PARK COUNSELING
Location Address5123 W AINSLIE STChicago, IL 60630-2304
Mailing Address5123 W Ainslie StChicago, IL 60630-2304 · (773) 707-5833
Phone(773) 707-5833
Organization SubpartNo
Authorized OfficialWilliam KochOwner · (773) 707-5833
Enumeration DateDecember 28, 2020
NPPES CertifiedDecember 28, 2020
✔ NPI 1477140283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
5123 W AINSLIE ST, Chicago, IL 60630
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jefferson Park Counseling's NPI number?

The NPI number for Jefferson Park Counseling is 1477140283. It was assigned to this organization in the NPPES registry on December 28, 2020.

Where is Jefferson Park Counseling located?

Jefferson Park Counseling is located at 5123 W Ainslie St, Chicago, IL 60630. The listed phone number is (773) 707-5833.

What is Jefferson Park Counseling's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jefferson Park Counseling was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.