Jodi L Macaluso, MA LCPC CADC
Individual provider Active NPI Professional Counselor · Bloomingdale, IL
NPI 1497909709 · NPPES record last updated Nov 13, 2008
Key facts
- NPI
- 1497909709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180-004470 (IL)
- Practice address
- 125 E Lake St
Suite 106
Bloomingdale, IL 60108-1179 - Phone
- (847) 812-3833
- NPI assigned
- Nov 13, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Proactive Behavioral Services, Inc
Adventist Health Partners, Inc.
Practice addresses (Care Compare)
215 N Main St
Algonquin, IL 60102-2570
Phone (224) 678-9033
396 Remington Blvd
Bolingbrook, IL 60440-4311
630 E N Ave
Carol Stream, IL 60188-2127
Phone (630) 458-5300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240119000270 | IL | Practitioner - Mental Health Counselor | 7911359518 |
Reassigns benefits to 2 organizations Practice locations: Inverness, IL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21085 | IL | MD | Addiction (Substance Use Disorder) Counselor |
| 180-004470 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Partners, Inc. | Current | Accepting new patients | |
| Adventist Health Partners,Inc | Current |
Accepting new patients | |
| Proactive Behavioral Services, Inc. | Current |
Accepting new patients |
Locations
215 N Main St
Algonquin, IL 60102
Phone (224) 678-9033
396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301
1644 W Colonial Pkwy
Inverness, IL 60067
Phone (847) 359-6200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 21085 | IL | |
| Professional Counselor | 101YP2500X | 180-004470 | IL | Yes |
Addresses
Primary practice location
125 E Lake St
Suite 106
Bloomingdale, IL 60108-1179
Mailing address
125 E Lake St
Suite 106
Bloomingdale, IL 60108-1179
Phone (847) 812-3833
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- Tehneiyat Macci
- Mianie Jaro Macias
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All providers in Bloomingdale, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.