=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114355682
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JSL CONSULTANTS & ASSOCIATES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/21/2013
-----------------------------------------------------
Last Update Date | 12/31/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 20372 BLUESTEM PKWY
-----------------------------------------------------
City | LYNWOOD
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60411-8556
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-926-5228
-----------------------------------------------------
Fax | 708-757-6599
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18125 ROY ST 695
-----------------------------------------------------
City | LANSING
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60438-2372
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MS. JANET STEWART
-----------------------------------------------------
Credential | LCPC
-----------------------------------------------------
Telephone | 708-926-5228
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 180.008754
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------