Individual provider Active NPI

Jacqueline A. Froberg, L.C.S.W. R.N. CADC

  • Addiction (Substance Use Disorder) Registered Nurse
  • Willowbrook, IL
National Provider Identifier
1205931979
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
Practice address
6262 Kingery Hwy
Suite 302
Willowbrook, IL 60527-2985
Phone
(630) 654-6660
Fax
(630) 654-1904
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 5016 IL
Mental Health Counselor 101YM0800X IL
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X IL Primary

Addresses

Primary practice location

6262 Kingery Hwy
Suite 302
Willowbrook, IL 60527-2985

Mailing address

311 Princeton Rd
Hinsdale, IL 60521-4743
Phone (630) 325-6649

Other identifiers 1

IdentifierTypeStateIssuer
02225890OtherILBLUE CROSS BLUE SHIELD

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
5016ILMDAddiction (Substance Use Disorder) Counselor
149000684ILMDMental Health Counselor
041208193ILMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1205931979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PRINCETON RD",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214743",
            "telephone_number": "630-325-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6262 KINGERY HWY",
            "address_2": "SUITE 302",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605272985",
            "telephone_number": "630-654-6660",
            "fax_number": "630-654-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROBERG",
        "first_name": "JACQUELINE",
        "middle_name": "A.",
        "credential": "L.C.S.W. R.N. CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "5016",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "02225890",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.