Individual provider Active NPI

Jo Ellen Maurer

  • Professional Counselor
  • Oak Brook, IL
National Provider Identifier
1386128213
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.014834 Issued in IL
Practice address
125 Windsor Dr Ste 111
Oak Brook, IL 60523-4081
Phone
(630) 313-9741
Fax
(708) 998-7029
NPI assigned
Sep 17, 2018
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.014834 IL Primary

Addresses

Primary practice location

125 Windsor Dr Ste 111
Oak Brook, IL 60523-4081

Mailing address

4780 Saint Joseph Creek Rd Apt 312
Lisle, IL 60532-1831
Phone (630) 899-9916

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
I20231218003931 IL Practitioner - Mental Health Counselor 9436509320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace Integrated LLCGroup PAC ID 7911272901, 18 clinicians

Practice addresses (Care Compare)

414 Plaza Dr
Suite 301
Westmont, IL 60559-5508
Phone (630) 728-1744

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
178.013695ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Integrated, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

125 Windsor Dr
Ste 111
Oak Brook, IL 60523
Phone (630) 313-9741

125 Windsor Dr
Ste 113
Oak Brook, IL 60523
Phone (630) 728-1744

3200 Harlem Ave
Riverside, IL 60546
Phone (630) 728-1744

414 Plaza Dr
Ste 301
Westmont, IL 60559
Phone (630) 728-1744

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": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1386128213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 SAINT JOSEPH CREEK RD APT 312",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321831",
            "telephone_number": "630-899-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WINDSOR DR STE 111",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234081",
            "telephone_number": "630-313-9741",
            "fax_number": "708-998-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURER",
        "first_name": "JO ELLEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.014834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.