Individual provider Active NPI

Jennifer Lauren Woodrum, MS

  • Mental Health Counselor
  • Bloomington, IL
National Provider Identifier
1447869680
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2103 E Washington St Ste 3E
Bloomington, IL 61701-4365
Phone
(309) 271-7042
Fax
(309) 322-8894
NPI assigned
Jul 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IL Primary

Addresses

Primary practice location

2103 E Washington St Ste 3E
Bloomington, IL 61701-4365

Mailing address

2103 E Washington St Ste 3E
Bloomington, IL 61701-4365
Phone (309) 271-7042

Other practice location 1

706 Oglesby Ave Ste 300
Normal, IL 61761-4616
Phone (309) 212-3606

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
I20241104002344 IL Practitioner - Mental Health Counselor 8325571953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Elliott Counseling Services LLC 4 clinicians

Practice addresses (Care Compare)

706 Oglesby Ave
Suite 300
Normal, IL 61761-4616
Phone (309) 212-3606

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elliott Counseling Services, LLC Professional CurrentSince Jan 1, 2025 Accepting new patients
Jen Woodrum Counseling PLLC Mental Health CurrentSince Oct 5, 2025 Accepting new patients

Locations

2103 E Washington St
Ste 3E
Bloomington, IL 61701
Phone (217) 520-3209

706 Oglesby Ave
Ste 300
Normal, IL 61761
Phone (309) 212-3606

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1447869680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 E WASHINGTON ST STE 3E",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617014365",
            "telephone_number": "309-271-7042",
            "fax_number": "309-322-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 E WASHINGTON ST STE 3E",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617014365",
            "telephone_number": "309-271-7042",
            "fax_number": "309-322-8894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "706 Oglesby Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Normal",
            "state": "IL",
            "postal_code": "617614616",
            "country_code": "US",
            "telephone_number": "309-212-3606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODRUM",
        "first_name": "JENNIFER",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.