Active NPI
Jennifer Ann Ashenfelter, MSW, L.C.S.W.
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1346511276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.012934
- Practice address
- 3139 N Lincoln Ave
Chicago, IL 60657-3114 - Phone
- (217) 714-3605
- NPI assigned
- Jan 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 149.012934 | IL | |
| Clinical Social Worker | 1041C0700X | 149.012934 | IL | Primary |
Addresses
Primary practice location
3139 N Lincoln Ave
Chicago, IL 60657-3114
Mailing address
847 Sanctuary Dr
#204A
Lake Villa, IL 60046-7889
Phone (217) 714-3605
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.012934 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Psych Services, P.C. | Past | Accepting new patients | |
| Cognitive Care Counseling, PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Huntley, IL
- NPI 1013532191
-
- Clinical Psychologist
- Hinsdale, IL
- NPI 1174821946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327363200000",
"number": "1346511276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "847 SANCTUARY DR",
"address_2": "#204A",
"city": "LAKE VILLA",
"state": "IL",
"postal_code": "600467889",
"telephone_number": "217-714-3605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3139 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573114",
"telephone_number": "217-714-3605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHENFELTER",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MSW, L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-24",
"last_updated": "2012-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "149.012934",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.012934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.