Individual provider Active NPI

Jennifer Millette, LCSW

  • Clinical Social Worker
  • Frankfort, IL
National Provider Identifier
1316553985
Registry record updated Sep 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149009217 Issued in IL
Practice address
9875 W Lincoln Hwy Ste 104
Frankfort, IL 60423-1934
Phone
(630) 281-2496
NPI assigned
Sep 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149009217 IL Primary

Addresses

Primary practice location

9875 W Lincoln Hwy Ste 104
Frankfort, IL 60423-1934

Mailing address

7913 Wheatfield Dr
Frankfort, IL 60423-6820
Phone (708) 508-8580

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer@counselingworks.com Direct

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
I20210218000474 IL Practitioner - Clinical Social Worker 7810302155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling WorksGroup PAC ID 6800179037, 4 clinicians

Practice addresses (Care Compare)

9875 W Lincoln Hwy
Suite 104
Frankfort, IL 60423-1934
Phone (630) 281-2496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Works CurrentSince Nov 11, 2020 Accepting new patients

Locations

9875 W Lincoln Hwy
Ste 104
Frankfort, IL 60423
Phone (815) 464-1333

1979 N Mill St
Ste 105
Naperville, IL 60563
Phone (630) 200-1954

1979 N Mill St
Ste 202
Naperville, IL 60563
Phone (630) 428-2344

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": "1600473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600473600000",
    "number": "1316553985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7913 WHEATFIELD DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604236820",
            "telephone_number": "708-508-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9875 W LINCOLN HWY STE 104",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231934",
            "telephone_number": "630-281-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLETTE",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-19",
        "last_updated": "2020-09-19",
        "certification_date": "2020-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer@counselingworks.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9875 W Lincoln Hwy Ste 104",
            "city": "Frankfort",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604231934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

Verify at the official NPI Registry.