Individual provider Active NPI

Jessica Schwan, LCPC

  • Professional Counselor
  • Glen Ellyn, IL
National Provider Identifier
1194274019
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180010260 Issued in IL
Practice address
526 Crescent Blvd Ste 300
Glen Ellyn, IL 60137-4187
Phone
(630) 981-7625
Fax
(630) 547-2598
NPI assigned
Oct 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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 180010260 IL Primary

Addresses

Primary practice location

526 Crescent Blvd Ste 300
Glen Ellyn, IL 60137-4187

Mailing address

1354 Mulberry LN
Cary, IL 60013-6510
Phone (630) 819-7625

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
180010260ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Day Counseling LLC Professional CurrentSince Mar 17, 2024 Accepting new patients

Locations

526 Crescent Blvd
Ste 300
Glen Ellyn, IL 60137
Phone (630) 981-7625

Organizations & group practices 1

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": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1194274019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 MULBERRY LN",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600136510",
            "telephone_number": "630-819-7625",
            "fax_number": "630-547-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 CRESCENT BLVD STE 300",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374187",
            "telephone_number": "630-981-7625",
            "fax_number": "630-547-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAN",
        "first_name": "JESSICA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.