Jacob Camiliere, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.014418 Issued in IL

Practice address

1650 E Main St Ste 200
St Charles, IL 60174-2373

Phone

(630) 283-2880

NPI assigned

Jan 3, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hopeology, PLLCGroup PAC ID 6406269406, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Hopeology, PLLC

  • Clinical Psychologist
  • Saint Charles, IL
  • NPI 1962017665
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1467925313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 E MAIN ST STE 200",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742373",
            "telephone_number": "630-283-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 E MAIN ST STE 200",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742373",
            "telephone_number": "630-283-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMILIERE",
        "first_name": "JACOB",
        "name_prefix": "Mr.",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-03",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.014418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cafal Clinic for Psychiatric and Consultation Services S.C.
• Kimberly Cain, BSN, RN, IBCLC
• Robert J Calabria, D.O.
• Sarah Sophia Cali, MS, OTR
• Calming Corner Therapy
• Abbegail Campbell
• Connie Camposano, RBT
• Campton Chiropractic, LTD
• Yoon M Canfield
• Caitlin Cantu, LCPC

• Professional Counselor in St Charles, IL
• Providers in St Charles, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.