Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jax Anthony Mosquera

Individual provider Mental Health Counselor · NPI 1164300976

Jax Anthony Mosquera is a Mental Health Counselor in Evanston, Illinois. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1740 Ridge Ave
Evanston, IL 60201-5918
Phone: (847) 558-7327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1164300976
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 21, 2025
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025
Mailing address5452 N Ashland Ave # 2, Chicago, IL 60640-1101

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