Individual provider Active NPI

Jennifer Klemm, LPC

  • Mental Health Counselor
  • Schaumburg, IL
National Provider Identifier
1184287443
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178014424 Issued in IL
Practice address
1305 Remington Rd Ste U
Schaumburg, IL 60173-4820
Phone
(888) 234-7628
Fax
(888) 234-7628
NPI assigned
Apr 22, 2019
Last updated
Apr 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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 178014424 IL Primary

Addresses

Primary practice location

1305 Remington Rd Ste U
Schaumburg, IL 60173-4820

Mailing address

1305 Remington Rd Ste U
Schaumburg, IL 60173-4820
Phone (888) 234-7628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178014424ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1184287443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 REMINGTON RD STE U",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734820",
            "telephone_number": "888-234-7628",
            "fax_number": "888-234-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 REMINGTON RD STE U",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734820",
            "telephone_number": "888-234-7628",
            "fax_number": "888-234-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMM",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178014424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.