Individual provider Active NPI

Jacob Multack, MA, LPC

  • Professional Counselor
  • Joliet, IL
National Provider Identifier
1245141167
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.033414 Issued in IL
Practice address
3077 W Jefferson St
Joliet, IL 60435-5262
Phone
(815) 200-9545
NPI assigned
Sep 17, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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 178.033414 IL Primary

Addresses

Primary practice location

3077 W Jefferson St
Joliet, IL 60435-5262

Mailing address

240 E Woodlawn Rd
New Lenox, IL 60451-2288
Phone (847) 504-7001

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

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1245141167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E WOODLAWN RD",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512288",
            "telephone_number": "847-504-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3077 W JEFFERSON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355262",
            "telephone_number": "815-200-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULTACK",
        "first_name": "JACOB",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.033414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.