Jenifer Joan Nibbio, LCSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

616 Iaa Dr
Bloomington, IL 61701-2225

Phone

(309) 531-1960

Fax

(309) 808-0617

NPI assigned

Sep 11, 2018

Sex

Female

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

Clinical Social Worker

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Compass Counselors LTDGroup PAC ID 1951740901, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Compass Counselors LTD.

  • Professional Counselor
  • Bloomington, IL
  • NPI 1205213758
  Medicare reassignment Care Compare group NPD
• Compass Counselors LTD.

  • Physician Assistant
  • Bloomington, IL
  • NPI 1225912231
  NPD

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1467935973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 IAA DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617012225",
            "telephone_number": "309-531-1960",
            "fax_number": "309-808-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 IAA DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617012225",
            "telephone_number": "309-531-1960",
            "fax_number": "309-808-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIBBIO",
        "first_name": "JENIFER",
        "middle_name": "JOAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Jo Newton, OTR/L
• Brooke Marie Nguyen, M.S. CCC-SLP
• Vy Charles Nhem, PHARMD
• Selena Ni
• Azfar Khan Niazi, MD
• Thomas P. Niebur, LCPC, LMFT, CSAT
• Sarah E Nielsen
• Thomas Edwin Nielsen, M.D.
• Abigail M Nieslawski
• Kimberly Nieukirk

• Professional Counselor in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.