Jenna Lynn Fash, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178006305 Issued in IL

Practice address

684 W Boughton Rd Ste 106
Bolingbrook, IL 60440-1781

Phone

(630) 410-9578

Fax

(630) 296-0749

NPI assigned

Oct 15, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fash Counseling IncGroup PAC ID 4183003056, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fash Counseling Inc.

  • Mental Health Counselor
  • Bolingbrook, IL
  • NPI 1346766250
  Medicare reassignment Care Compare group NPD Authorized official
• Pivotal Health and Wellness LLC

  • Chiropractor
  • Bolingbrook, IL
  • NPI 1679290845
  NPD

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255666707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 W BOUGHTON RD STE 106",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401781",
            "telephone_number": "630-410-9578",
            "fax_number": "630-296-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 W BOUGHTON RD STE 106",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401781",
            "telephone_number": "630-410-9578",
            "fax_number": "630-296-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASH",
        "first_name": "JENNA",
        "middle_name": "LYNN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178006305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Eye Care of Bolingbrook LTD
• Family Foot and Ankle Care, P.C.
• Family Medical Center of Bolingbrook SC
• Nathan Joseph Fanter, D.O.
• Fash Counseling Inc.
• Hafsa Fatima
• Janaya Feiner, DC
• Catherine Felt, MA. CCC/SLP (L)
• Femcare OB-GYN LTD (Femcare OB-GYN)
• Helen Ferng, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.