Jeremy Phelps

Primary specialty

CounselorTaxonomy code 101Y00000X

License

180017263 Issued in IL

Practice address

970 S McHenry Ave
Crystal Lake, IL 60014-7449

Phone

(815) 322-9823

Fax

(815) 455-7510

NPI assigned

Nov 21, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Telos Counseling Services PLLC

  • Counselor
  • Crystal Lake, IL
  • NPI 1861376238
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1376252007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 S MCHENRY AVE",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147449",
            "telephone_number": "815-322-9823",
            "fax_number": "815-455-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 S MCHENRY AVE",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147449",
            "telephone_number": "815-322-9823",
            "fax_number": "815-455-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "JEREMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180017263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.telosmentalhealth.com/",
            "affiliation": "N",
            "address_1": "970 S McHenry Ave",
            "city": "Crystal Lake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600147449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Perfect Performance Physical Therapy Inc
• Susan Worthington Perkins, LPC
• Michele S Perlis, M.D.
• Catherine Perz, MS CCC
• Debra Jane Peterson, RN
• Phoenix Rising Therapy
• Physiotherapy Associates Inc
• John Christopher Pickett, M.A., M.DIV.
• Rejeigh J Pierce
• Michaela Pieroni

• Counselor in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.