Individual provider Active NPI

Jennifer Curtin

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1194063230
Registry record updated Sep 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178008643 Issued in IL
Practice address
1555 Naper VL Wheaton Rd Ste 205
Naperville, IL 60563-1558
Phone
(630) 206-4060
Fax
(855) 871-8351
NPI assigned
Jan 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 178008643 IL Primary

Addresses

Primary practice location

1555 Naper VL Wheaton Rd Ste 205
Naperville, IL 60563-1558

Mailing address

1555 Naper VL Wheaton Rd Ste 205
Naperville, IL 60563-1558
Phone (630) 206-4060

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
I20260224002062 IL Order and Referring Only - Mental Health Counselor 9830476829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178008643ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Curtin and Associates Inc Professional Current Accepting new patients
Evolution Counseling, Inc Mental Health CurrentSince Mar 13, 2017 Accepting new patients
Revelations RX PLLC PastSince May 28, 2023 Accepting new patients
Fox Valley Institute for Growth and Wellness Inc PastSince Mar 3, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694822400000",
    "number": "1194063230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 NAPER VL WHEATON RD STE 205",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631558",
            "telephone_number": "630-206-4060",
            "fax_number": "855-871-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 NAPER VL WHEATON RD STE 205",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631558",
            "telephone_number": "630-206-4060",
            "fax_number": "855-871-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIN",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-24",
        "last_updated": "2023-09-16",
        "certification_date": "2023-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178008643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.