Jenna Lynn Bumber, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180014637 Issued in IL

Practice address

4055 W Peterson Ave Ste 202
Chicago, IL 60646

Phone

(773) 774-4444

NPI assigned

Jun 17, 2019

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

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 and National Provider Directory roles.

• Creative Expressions Counseling, PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1942096466

  Professional

  NPD Authorized official
• Urban Wellness, LTD.

  • Professional Counselor
  • Chicago, IL
  • NPI 1942565353
  NPD

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1104486604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 W PENSACOLA AVE BSMT UNIT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411547",
            "telephone_number": "773-774-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 W PETERSON AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60646",
            "telephone_number": "773-774-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMBER",
        "first_name": "JENNA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judiynn Bult, PHARMD,BCPS
• Katelyn Wang Bult
• Serdar Bulun, MD
• Leslie Bulyaki, D.C
• Emma Bulzoni, LPC
• Becky D. Bumhira, L.C.P.C.
• Deborah Francine Bump, PMHNP-BC
• Takisha C Bumpers
• Robert Milton Bumsted, M.D.
• Andrea Bunch, PT

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.