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Jerry L Price JR.

Behavior Analyst Mental Health Counselor Addiction Counselor (Substance Use Disorder) Family Psychologist and 1 more

6412 27th St # At
Berwyn , Illinois 60402-2755

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Addiction Counselor (Substance Use Disorder)
  • Mental Health Counselor
  • Behavior Analyst
  • Family Psychologist
  • Assistant Behavior Analyst

Languages spoken

  • English

Location

6412 27th St # At Berwyn , Illinois 60402-2755

First Address

  • Jerry L Price JR.
  • 6120 N Kenmore Ave Apt 2e
  • Chicago, IL
  • Zip : 60660-2727
  • Phone : (312) 898-2831

Second Address

  • Jerry L Price JR.
  • 6412 27th St # At
  • Berwyn, IL
  • Zip : 60402-2755
  • Phone : (312) 898-2831

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FAQs


Where did Jerry L Price JR. attend graduate school?

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Where did Jerry L Price JR. do his residency?

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Where did Jerry L Price JR. do his fellowship?

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Is Jerry L Price JR. board certified?

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What type of doctor is Jerry L Price JR.

Mental Health Counselor

In what state does Jerry L Price JR. practice in?

Illinois

Where is Jerry L Price JR.’s practice located?

6412 27th St # At , Berwyn, Illinois, 60402-2755

What is Jerry L Price JR.’s gender?

Male

Is Jerry L Price JR. a sole practitioner?

No

Is Jerry L Price JR. accepting new patients?

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What languages does Jerry L Price JR. speak?

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Does Jerry L Price JR. accept insurance?

Yes, Jerry L Price JR. accepts insurance

Does Jerry L Price JR. offers telemedicine?

Jerry L Price JR. has not indicated if he offers telemedicine

What is Jerry L Price JR.’s professional license number?

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What is Jerry L Price JR.’s NPI number?

1164912283

Does Jerry L Price JR. have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 101YA0400X Addiction Counselor (Substance Use Disorder)
Y 101YM0800X Mental Health Counselor
N 103K00000X Behavior Analyst
N 103TF0000X Family Psychologist
N 106E00000X Assistant Behavior Analyst

National Provider Identifier

NPI 1164912283
Provider Name Jerry L Price JR.
First Address Chicago, IL 60660-2727
Second Address Berwyn, IL 60402-2755
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 14/05/2018
Last Update Date 14/05/2018

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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