Individual provider Active NPI

Renee Jaegers, LCPC

  • Professional Counselor
  • Glenview, IL
National Provider Identifier
1154743078
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.008604 Issued in IL
Practice address
3080 West Lake Avenue
Youth Services Glenview/Northbrook
Glenview, IL 60026
Phone
(847) 724-2620
NPI assigned
Jan 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.008604 IL Primary

Addresses

Primary practice location

3080 West Lake Avenue
Youth Services Glenview/Northbrook
Glenview, IL 60026

Mailing address

3836 Knollwood LN
Glenview, IL 60025-2408
Phone (847) 729-5393

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250818002007 IL Practitioner - Mental Health Counselor 0143729095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The McKnight Group LLCGroup PAC ID 3870920432, 4 clinicians

Practice addresses (Care Compare)

1850 W Winchester Rd
Suite 108
Libertyville, IL 60048-5355
Phone (224) 424-4194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.008604ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The McKnight Group LLC Professional CurrentSince Aug 1, 2025 Accepting new patients
Youth Services of Glenview-Northbrook Past Accepting new patients

Locations

740 Florsheim Dr
Ste 11
Libertyville, IL 60048
Phone (224) 424-4194

1850 W Winchester Rd
Ste 108
Libertyville, IL 60048
Phone (224) 424-4194

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1389484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1154743078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3836 KNOLLWOOD LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252408",
            "telephone_number": "847-729-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 WEST LAKE AVENUE",
            "address_2": "YOUTH SERVICES GLENVIEW/NORTHBROOK",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "60026",
            "telephone_number": "847-724-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGERS",
        "first_name": "RENEE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-12",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.