Individual provider Active NPI

Jenny Patel

  • Professional Counselor
  • Park Ridge, IL
National Provider Identifier
1235023938
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.021676 Issued in IL
Practice address
1580 N Northwest Hwy Ste 120
Park Ridge, IL 60068-1470
Phone
(812) 964-9732
NPI assigned
Jun 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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 178.021676 IL Primary

Addresses

Primary practice location

1580 N Northwest Hwy Ste 120
Park Ridge, IL 60068-1470

Mailing address

1580 N Northwest Hwy Ste 120
Park Ridge, IL 60068-1470

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
I20250806002011 IL Practitioner - Mental Health Counselor 2264940501 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.021676ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bellosa Counseling, LLC Mental Health CurrentSince Jul 10, 2025 Accepting new patients

Locations

1580 N Northwest Hwy
Ste 120
Park Ridge, IL 60068
Phone (847) 220-4977

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": "1749168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1235023938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY STE 120",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY STE 120",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681470",
            "telephone_number": "812-964-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JENNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.021676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.