Organization Active NPI

Fash Counseling Inc.

  • Mental Health Counselor
  • Bolingbrook, IL
National Provider Identifier
1346766250
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FASH COUNSELING INC.
Doing business as
Fash Counseling Inc
Practice address
684 W Boughton Rd Ste 106
Bolingbrook, IL 60440-1781
Phone
(630) 410-9578
Fax
(630) 296-0749
NPI assigned
Aug 22, 2017
Last updated
Sep 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Jenna Fash, LCPCNPI 1255666707
Title
Owner
Phone
(630) 410-9578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Community/Behavioral Health Agency 251S00000X 180008047 IL

Addresses

Primary practice location

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

Mailing address

684 W Boughton Rd Ste 106
Bolingbrook, IL 60440-1781
Phone (630) 410-9578

Other identifiers 3

IdentifierTypeStateIssuer
1255666707OtherILBEHAVIORAL HEALTH
1508401209OtherILSOCIAL WORK
1104488980OtherILCLINICAL PSYCHOLOGY

Other names 1

  • Fash Counseling Inc Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.fashcounseling.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220623000974 IL Part B Supplier - Clinic/Group Practice 4183003056 Receives reassigned benefits from 5 practitioners
Practice locations: Bolingbrook, IL
O20231228002418 AZ Part B Supplier - Clinic/Group Practice 4183003056 Receives reassigned benefits from 2 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

684 W Boughton Rd
Ste 106
Bolingbrook, IL 60440
Phone (630) 410-9578

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1346766250",
    "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": {
        "organization_name": "FASH COUNSELING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2025-09-12",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "FASH",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-410-9578",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180008047",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH",
            "identifier": "1255666707",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK",
            "identifier": "1508401209",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL PSYCHOLOGY",
            "identifier": "1104488980",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.fashcounseling.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website content",
            "address_1": "684 W Boughton Rd Ste 106",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604401781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fash Counseling Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fash Counseling Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.