Jessica Rachel Waxman, LMFT
Marriage & Family Therapist in Evanston, IL. Individual provider (NPI-1).
NPI number1124179700
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124179700
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jessica Rachel Waxman
- Credential
- LMFT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 12, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 166000633 | IL | Yes |
Practice location
708 Church StSuite 221
Evanston, IL 60201-3875
Phone 312-371-1448
Mailing address
3011 N Damen Ave Unit 1Chicago, IL 60618-8216
Phone 312-371-1448
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 74 Marriage & Family Therapist providers in Evanston · All 4,899 providers in Evanston
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