THE JOSSELYN CENTER NFP
NPI 1649806407
Clinic/Center - Mental Health (Including Community Mental Health Center) in Waukegan, IL
About The Josselyn Center Nfp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE JOSSELYN CENTER NFP (NPI 1649806407) is a healthcare organization registered as a mental health (including community mental health center) in Waukegan, Illinois and active in the NPI registry since March 2020. The organization lists Kenneth G. Wiersum, Vp Of Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Josselyn Center Nfp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
138Medicare enrollment records show 138 clinicians reassign Medicare billing to The Josselyn Center Nfp, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 30 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 138Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 The Josselyn Center Nfp's NPI number?
The NPI number for The Josselyn Center Nfp is 1649806407. It was assigned to this organization in the NPPES registry on March 12, 2020.
Where is The Josselyn Center Nfp located?
The Josselyn Center Nfp is located at 415 Washington St Ste 200, Waukegan, IL 60085. The listed phone number is (847) 441-5600.
What is The Josselyn Center Nfp's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is The Josselyn Center Nfp enrolled in Medicare?
Yes. The Josselyn Center Nfp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Josselyn Center Nfp?
According to the CMS Revalidation Reassignment List (October 2026 release), 138 clinicians in 5 Medicare specialties reassign their Medicare billing to The Josselyn Center Nfp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (58), Clinical Social Worker (54) and Nurse Practitioner (13). Of these, 8 practice at this address and 30 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for The Josselyn Center Nfp was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# The Josselyn Center Nfp · NPI 1649806407
Mental Health (Including Community Mental Health Center) organization in Waukegan, Illinois. Organization record, active in the CMS NPPES registry since March 12, 2020.
## Identity
- **NPI:** 1649806407 (Entity type: Organization)
- **Enumerated:** March 12, 2020
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** Yes (part of The Josselyn Center Nfp)
- **Authorized official:** Kenneth Wiersum, VP OF FINANCE
## Practice location
- **Address:** 415 WASHINGTON ST STE 200, Waukegan, IL 60085-5564
- **Phone:** (847) 441-5600 · **Fax:** (847) 441-7968
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 138 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (58), Clinical Social Worker (54), Nurse Practitioner (13); 8 practice at this address and 30 within 10 miles; [full list](https://npiprofile.com/npi/1649806407/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 12, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1649806407) · Data from the CMS NPPES public registry.