Individual provider Active NPI

Jocelyn Acoff, MA, LCPC

  • Mental Health Counselor
  • Belleville, IL
National Provider Identifier
1114414679
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180014768 Issued in IL
Practice address
5720 N Belt W Ste 303
Belleville, IL 62226-4661
Phone
(314) 399-9253
NPI assigned
Apr 19, 2018
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180014768 IL Primary

Addresses

Primary practice location

5720 N Belt W Ste 303
Belleville, IL 62226-4661

Mailing address

5505 N Cumberland Ave Ste 307
Chicago, IL 60656-4761
Phone (312) 766-6780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20241007002729 IL Practitioner - Mental Health Counselor 3971034547 Reassigns benefits to 1 organization
I20241104002080 MO Practitioner - Mental Health Counselor 3971034547 Reassigns benefits to 1 organization
I20250331002031 TX Practitioner - Mental Health Counselor 3971034547 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180014768ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Aug 27, 2024 Accepting new patients
Shine Medical Providers PC Past Accepting new patients
Shine Medical of Ca PC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

4625 Lindell Blvd
Ste 200
Saint Louis, MO 63108
Phone (314) 833-8765

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1114414679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 N CUMBERLAND AVE STE 307",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606564761",
            "telephone_number": "312-766-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 N BELT W STE 303",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622264661",
            "telephone_number": "314-399-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOFF",
        "first_name": "JOCELYN",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180014768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.