Jean Ryan-Meyers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149011473 Issued in IL

Practice address

21 S Main St
Elburn, IL 60119-9192

Phone

(773) 405-7639

NPI assigned

Feb 1, 2024

Last updated

Feb 1, 2024By the provider in NPPES

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Modus Operandi LLC

  dba Blackberry Counseling Center

  • Mental Health Counselor
  • Elburn, IL
  • NPI 1821684986
  Medicare reassignment NPD

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1053174185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 S MAIN ST",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601199192",
            "telephone_number": "773-405-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S MAIN ST",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601199192",
            "telephone_number": "773-405-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN-MEYERS",
        "first_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Airianna Quintanilla, MS, LSW, CADC
• Andrea Rauch, PHARMD
• Karen Frances Rink, OTR/L
• Robert B Davidson DDS PC
• Kirstie Ruckoldt, LCSW
• Kristy Saar, M.A.
• Michael James Schuiling, DDS
• Self Made Art Therapy LLC
• Shamrock RX, Inc. (Shamrock Specialty Rx)
• Kevin Paul Shimer

• Clinical Social Worker in Elburn, IL
• Providers in Elburn, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.