Individual provider Active NPI

Jenni Ford, LCPC, ATR-BC, LMHC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1457666398
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180011269 Issued in IL
Practice address
2650 W Montrose Ave Ste 102
Chicago, IL 60618-1562
Phone
(773) 377-5261
Fax
(872) 813-4596
NPI assigned
Aug 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180011269 IL Primary

Addresses

Primary practice location

2650 W Montrose Ave Ste 102
Chicago, IL 60618-1562

Mailing address

2650 W Montrose Ave Ste 102
Chicago, IL 60618-1562
Phone (773) 377-5261

Other practice location 1

2485 Bristol Ct
Aurora, IL 60504-6005
Phone (630) 708-7449

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
I20260423001209 IL Practitioner - Mental Health Counselor 4688141039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2650 W Montrose Ave
Suite 102
Chicago, IL 60618-1562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH17736FLMDMental Health Counselor
180011269ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
River Cross Counseling CurrentSince Sep 10, 2023 Accepting new patients
Best Therapies, Inc CurrentSince Mar 17, 2026 Accepting new patients
Bricolage Wellness, LLC Mental Health PastSince May 1, 2022 Accepting new patients
Edgewood Clinical Services, P.C. Mental Health PastSince Jul 31, 2023 Accepting new patients

Locations

2650 W Montrose Ave
Ste 102
Chicago, IL 60618
Phone (773) 377-5261

29W170 Butterfield Rd
Ste 103
Warrenville, IL 60555
Phone (331) 465-1153

Organizations & group practices 4

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": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781308800000",
    "number": "1457666398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 W MONTROSE AVE STE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181562",
            "telephone_number": "773-377-5261",
            "fax_number": "872-813-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 W MONTROSE AVE STE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181562",
            "telephone_number": "773-377-5261",
            "fax_number": "872-813-4596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2485 Bristol Ct",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605046005",
            "country_code": "US",
            "telephone_number": "630-708-7449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "JENNI",
        "credential": "LCPC, ATR-BC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180011269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.