Organization Active NPI

Jennifer L Farrell PLLC

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1104359611
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
180.006686 Issued in IL
Legal business name
JENNIFER L FARRELL PLLC
Practice address
4803 N Milwaukee Ave Ste C1
Chicago, IL 60630-2146
Phone
(773) 420-6960
Fax
(847) 496-7406
NPI assigned
Apr 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Jennifer Farrell, LCPC, NCC, CEAPNPI 1871985382
Title
Managing Member/ Therapist
Phone
(773) 895-3088

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
Community/Behavioral Health Agency 251S00000X 180.006686 IL Primary

Addresses

Primary practice location

4803 N Milwaukee Ave Ste C1
Chicago, IL 60630-2146

Mailing address

755 N Williams Dr
Palatine, IL 60074-7270
Phone (773) 895-3088

National Provider Directory

National Provider Directory

Locations

4803 N Milwaukee Ave
Ste C1
Chicago, IL 60630
Phone (773) 420-6960

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": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1104359611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N WILLIAMS DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600747270",
            "telephone_number": "773-895-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 N MILWAUKEE AVE STE C1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302146",
            "telephone_number": "773-420-6960",
            "fax_number": "847-496-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER L FARRELL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGING MEMBER/ THERAPIST",
        "authorized_official_telephone_number": "773-895-3088",
        "authorized_official_credential": "LCPC, NCC, CEAP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180.006686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.