Jessica Irene Nemecz, MA, LPC, QMHP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1800007303 Issued in IL

Practice address

3545 N Vermilion St
Danville, IL 61832-1100

Phone

(217) 651-6801

Fax

(217) 651-6802

NPI assigned

Apr 2, 2007

Last updated

Apr 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Irene Jones Former name

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Two Roads Wellness Clinic, LLCGroup PAC ID 9638536220, shared by 2 NPIs, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.nemecz.1@30412.direct.athenahealth.com

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.

• Two Roads Wellness Clinic, LLC

  dba Two Roads Wellness Clinic

  • Primary Care Nurse Practitioner
  • Danville, IL
  • NPI 1417329426
  Medicare reassignment NPD Authorized official
• Two Roads Wellness Clinic, LLC

  • Primary Care Clinic/Center
  • Covington, IN
  • NPI 1639927296
  Medicare reassignment NPD Authorized official
• Danville Clinic PLLC

  • Professional Counselor
  • Danville, IL
  • NPI 1437067881
  Authorized official Same address or phone

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1407977135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N 3RD ST",
            "city": "SAINT JOSEPH",
            "state": "IL",
            "postal_code": "618739567",
            "telephone_number": "217-431-8825",
            "fax_number": "217-431-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 N VERMILION ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321100",
            "telephone_number": "217-651-6801",
            "fax_number": "217-651-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMECZ",
        "first_name": "JESSICA",
        "middle_name": "IRENE",
        "credential": "MA, LPC, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "1800007303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "JONES",
            "middle_name": "IRENE",
            "credential": "MA, LCPC, QMHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Melissa A. Nelson, LCSW
• Michelle Nelson, MSW
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• Rebecca Kay Newcomer, LCPC
• Andrew Le Nguyen, MSW, LCSW
• Haleigh Ranae Nicholson

• Professional Counselor in Danville, IL
• Providers in Danville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.