Individual provider Active NPI

Joan L Fefferman, LCPC CADC

  • Mental Health Counselor
  • Wheaton, IL
National Provider Identifier
1295281608
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.011604 Issued in IL
Practice address
213 W Wesley St Ste 106D
Wheaton, IL 60187-5135
Phone
(630) 868-3920
NPI assigned
Aug 27, 2016
Last updated
Dec 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180.011604 IL
Addiction (Substance Use Disorder) Counselor 101YA0400X 34407 IL
Mental Health Counselor 101YM0800X 180.011604 IL Primary

Addresses

Primary practice location

213 W Wesley St Ste 106D
Wheaton, IL 60187-5135

Mailing address

213 W Wesley St Ste 106D
Wheaton, IL 60187-5135
Phone (630) 868-3920

Other names 1

  • Joan Louise Fefferman Other name

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
I20240703003796 IL Practitioner - Mental Health Counselor 7618411422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

213 W Wesley St
Suite 106D
Wheaton, IL 60187-5135
Phone (630) 868-3920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
34407ILMDAddiction (Substance Use Disorder) Counselor
180.011604ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
JF Counseling Services PLLC Counselor CurrentSince Apr 21, 2024 Accepting new patients

Locations

213 W Wesley St
Ste 106D
Wheaton, IL 60187
Phone (630) 868-3920

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

NPI Registry JSON

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

{
    "created_epoch": "1472256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1295281608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W WESLEY ST STE 106D",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875135",
            "telephone_number": "630-868-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W WESLEY ST STE 106D",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875135",
            "telephone_number": "630-868-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEFFERMAN",
        "first_name": "JOAN",
        "middle_name": "L",
        "credential": "LCPC CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-27",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.011604",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "34407",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.011604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "FEFFERMAN",
            "middle_name": "LOUISE",
            "credential": "LCPC CADC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.