Individual provider Active NPI

Jeannine Marie Pacetti, LPC

  • Professional Counselor
  • Yorkville, IL
National Provider Identifier
1447333505
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.013284 Issued in IL
Practice address
338 Emily CT
Yorkville, IL 60560-9129
Phone
(630) 639-0096
NPI assigned
Oct 23, 2006
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.013284 IL Primary
Registered Dietitian 133V00000X 852925 IL

Addresses

Primary practice location

338 Emily CT
Yorkville, IL 60560-9129

Mailing address

338 Emily CT
Yorkville, IL 60560-9129
Phone (630) 639-0096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.013284ILMDProfessional Counselor
852925ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Cardiovascular Consultants, LLC Past Accepting new patients
Rush Copley Cardiovascular Consultants, LLC Past Accepting new patients

Organizations & group practices 2

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1447333505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 EMILY CT",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605609129",
            "telephone_number": "630-639-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 EMILY CT",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605609129",
            "telephone_number": "630-639-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACETTI",
        "first_name": "JEANNINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.013284",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "852925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.