Jennifer Pineda

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178019094 Issued in IL

Practice address

1790 Nations Dr Ste 211
Gurnee, IL 60031-9176

Phone

(847) 629-0027

NPI assigned

Oct 30, 2026

Last updated

Oct 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1793318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793318400000",
    "number": "1205734019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 N FOX TRL",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600732355",
            "telephone_number": "847-494-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 NATIONS DR STE 211",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319176",
            "telephone_number": "847-629-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-30",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "270010448",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178019094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Rachel Pettersen, BA
• Catherine Dang-Chau Phan, DDS
• Physical Therapy of Gurnee Inc
• Ira J Piel, MD
• Kathryn Renee Pierce-Church, P.T.
• Julie Pischke
• Cynthia Piton, PHARM.D.
• Melissa Ann Platt, MSPT
• Podomedik Clinics LLC. (Gerardo Perez Single Member)
• Valentina Polyak, M.D.

• Professional Counselor in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; 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.