Organization Active NPI

Jennifer Stenzel Clinical Associates, LTD

  • Professional Counselor
  • Wheaton, IL
National Provider Identifier
1104336734
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180004617 Issued in IL
Legal business name
JENNIFER STENZEL CLINICAL ASSOCIATES, LTD
Practice address
107 W Willow Ave
Wheaton, IL 60187-5236
Phone
(630) 347-7737
NPI assigned
Oct 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Jennifer Garwacki, LCPCNPI 1508046889
Title
Owner
Phone
(630) 347-7737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180004617 IL Primary

Addresses

Primary practice location

107 W Willow Ave
Wheaton, IL 60187-5236

Mailing address

386 Pennsylvania Ave # 1SW
Glen Ellyn, IL 60137-4323
Phone (630) 347-7737

National Provider Directory

National Provider Directory

Locations

386 Pennsylvania Ave
Glen Ellyn, IL 60137
Phone (630) 858-3277

386 Pennsylvania Ave
#1
Glen Ellyn, IL 60137

107 W Willow Ave
Wheaton, IL 60187
Phone (630) 347-7737

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1104336734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 PENNSYLVANIA AVE # 1SW",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374323",
            "telephone_number": "630-347-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W WILLOW AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875236",
            "telephone_number": "630-347-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER STENZEL CLINICAL ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "GARWACKI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-347-7737",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180004617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.