Individual provider Active NPI

Jodi L Macaluso, MA LCPC CADC

  • Professional Counselor
  • Bloomingdale, IL
National Provider Identifier
1497909709
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-004470 Issued in IL
Practice address
125 E Lake St
Suite 106
Bloomingdale, IL 60108-1179
Phone
(847) 812-3833
NPI assigned
Nov 13, 2008
Last updated
Nov 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 21085 IL
Professional Counselor 101YP2500X 180-004470 IL Primary

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

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
I20240119000270 IL Practitioner - Mental Health Counselor 7911359518 Reassigns benefits to 2 organizations
Practice locations: Inverness, IL

Care Compare profile

Medicare Care Compare
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, IncGroup PAC ID 7618048950, 5 clinicians
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21085ILMDAddiction (Substance Use Disorder) Counselor
180-004470ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc CurrentSince Jan 1, 2024 Accepting new patients
Proactive Behavioral Services, Inc. CurrentSince Dec 9, 2024 Accepting new patients
Adventist Health Partners, 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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1497909709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E LAKE ST",
            "address_2": "SUITE 106",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081179",
            "telephone_number": "847-812-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E LAKE ST",
            "address_2": "SUITE 106",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081179",
            "telephone_number": "847-812-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACALUSO",
        "first_name": "JODI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MA LCPC CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "21085",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-004470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.