MEDICARE: JANUS CODE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1912877762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JANUS CODE SERVICES LLC

Provider Business Mailing Address
First Line	:	1803 N MITCHELL AVE
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-3738
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1803 N MITCHELL AVE
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-3738
Country	:	US
Telephone Number	:	224-595-8280
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VIRGINIA JREISAT
Credential	:
Telephone Number	:	210-942-5767

Provider Enumeration Date	:	11/07/2025
Last Update Date	:	11/07/2025

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Directions to “JANUS CODE SERVICES LLC ” Practice Location

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