The Jellybean Collective, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE JELLYBEAN COLLECTIVE, PLLC

Practice address

65 S. Randall Rd.
Unit 113
North Aurora, IL 60542

Phone

(708) 406-9506

NPI assigned

Jan 22, 2025

Organization subpart

No

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

Authorized official

Name

Jessica M. Grayer-Brumfield, LCSWNPI 1043748114

Title

Owner

Phone

(708) 359-0983

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica M Grayer-Brumfield, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1043748114
  NPD Authorized official

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1417769092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 N SUGAR GROVE PKWY STE F328",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605548107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 S. RANDALL RD.",
            "address_2": "UNIT 113",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "60542",
            "telephone_number": "708-406-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JELLYBEAN COLLECTIVE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "GRAYER-BRUMFIELD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-359-0983",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in North Aurora, IL
• Providers in North Aurora, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.