Individual provider Active NPI

Jessica Schroeder, MA, LCPC

  • Professional Counselor
  • Orland Park, IL
National Provider Identifier
1023664448
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.013957 Issued in IL
Practice address
13500 Circle Dr Ste 203
Orland Park, IL 60462-1343
Phone
(708) 973-6705
NPI assigned
Aug 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.013957 IL Primary

Addresses

Primary practice location

13500 Circle Dr Ste 203
Orland Park, IL 60462-1343

Mailing address

13500 Circle Dr Ste 203
Orland Park, IL 60462-1343
Phone (708) 973-6705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
178.013957ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Schroeder PLLC Professional Current Accepting new patients
Hope Enrichment Center PastSince Aug 1, 2019 Accepting new patients

Locations

13500 Circle Dr
Ste 203
Orland Park, IL 60462
Phone (708) 973-6705

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1023664448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 CIRCLE DR STE 203",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621343",
            "telephone_number": "708-973-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 CIRCLE DR STE 203",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621343",
            "telephone_number": "708-973-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JESSICA",
        "credential": "MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.013957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.