Jenna Marie Coca, M.A., LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

180.009254 Issued in IL

Practice address

1010 Jorie Blvd
Oak Brook, IL 60523-2215

Phone

(630) 506-3906

NPI assigned

Jun 23, 2011

Reactivated

Sep 7, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Illinois Behavioral Health, LTD.

  • Adult Mental Health Clinic/Center
  • Oak Brook, IL
  • NPI 1346547965
  NPD (past)
• Lighthouse Consulting Services of Illinois Inc.

  • Professional Counselor
  • Arlington Heights, IL
  • NPI 1831395672
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1003102484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 OAKWOOD TER",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212840",
            "telephone_number": "847-253-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 JORIE BLVD",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232215",
            "telephone_number": "630-506-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCA",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "credential": "M.A., LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "deactivation_date": "2022-08-18",
        "reactivation_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.009254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Claussen, LCSW
• Philip E Claussen, DC
• Clinical Associates for Mental Health, PC
• Cmac Ventures LLC
• Domini Nicole Cobb
• Cognivia Mental Health S.C.
• Olubukola A Cole, PT
• Collaborative Skills Therapy LLC
• Ann Renee Collier, MD
• Ashley Marie Collins, APN

• Counselor in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.