Active NPI
Jordann K Scott
- Mental Health Counselor
- Dekalb, IL
National Provider Identifier
1417786377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1325 Sycamore Rd
Dekalb, IL 60115-2483 - Phone
- (815) 758-8616
- NPI assigned
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1325 Sycamore Rd
Dekalb, IL 60115-2483
Mailing address
1090 Rushmoore Dr Apt 3
Dekalb, IL 60115-5135
Phone (708) 973-6354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service Agency of Dekalb County, Inc. | Current | Accepting new patients | |
| Life Solutions: Integrative Healing & Well Being LLC | Mental Health | Current | Accepting new patients |
| Family Service Agency of Dekalb County, Inc. | Current | Accepting new patients |
Locations
1325 Sycamore Rd
DeKalb, IL 60115
Phone (815) 758-8616
1500 E Lincoln Hwy
Ste A
DeKalb, IL 60115
Phone (779) 201-8006
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Dekalb, IL
- NPI 1720462799
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dekalb, IL
- NPI 1184154007
-
- Clinic/Center
- Dekalb, IL
- NPI 1598820300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1417786377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 RUSHMOORE DR APT 3",
"city": "DEKALB",
"state": "IL",
"postal_code": "601155135",
"telephone_number": "708-973-6354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 SYCAMORE RD",
"city": "DEKALB",
"state": "IL",
"postal_code": "601152483",
"telephone_number": "815-758-8616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "JORDANN",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-30",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dekalb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.