Jacqueline M Harvey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149019332 Issued in IL

Practice address

1413 S 7TH St
Pekin, IL 61554-5724

Phone

(130) 939-7983

NPI assigned

Jun 18, 2022

Last updated

Dec 30, 2025By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• GK Enterprise LLC

  dba Lifeline Counseling and Consulting

  • Mental Health Counselor
  • Pekin, IL
  • NPI 1568228682
  Medicare reassignment NPD

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

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1275264541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 S 7TH ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615545724",
            "telephone_number": "309-397-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 S 7TH ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615545724",
            "telephone_number": "130-939-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-18",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149019332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas C Harrington, MD
• Dale Harrison, D.C.
• Damion Harrison, LMT
• Darlene Kay Harrison, RN
• Taylor Harrison
• Shweta R Harvi, OD
• Jill Annette Hayes, LPC
• Patrick Timothy Hayes, B.S.
• Robin Hayles, LPC
• Heartland Chiropractic Center PLLC

• Clinical Social Worker in Pekin, IL
• Providers in Pekin, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.