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Contact Information

JESSICA WHELAN LLC
207 N MAIN ST STE 109B
COLUMBIA, IL62236-1755
 Phone: 314-470-1220
 Fax: 833-914-0432
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
 

Brain Injury Medicine

2084P0301X 86 Physician/Neuropsychiatry
 

Case Manager/Care Coordinator

171M00000X
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Counselor

101Y00000X
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

In Home Supportive Care

253Z00000X
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Nursing Care

251J00000X
 

Pharmacist

183500000X
 

Public Health & General Preventive Medicine

2083P0901X 84 Physician/Preventive Medicine
 

Research

261QR1100X
Indicates primary specialty

NPI Profile & details for JESSICA WHELAN LLC

NPI Number 1760018774
LBN Legal business name JESSICA WHELAN LLC
Authorized official JESSICA WHELAN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/21/2020
Last updated 11/19/2021 - About 5 years ago
Identifiers
MO Medicaid 500089936
ID Other 735518 MCKESSON SUBMITTER ID
MO Other 6982159 AETNA - MEDICAID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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