Individual provider Active NPI

Jessica Fox Levy, LCPC

  • Pastoral Counselor
  • Park Ridge, IL
National Provider Identifier
1528336328
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
180.007767 Issued in IL
Practice address
36 Main Street
Suite 104
Park Ridge, IL 60068
Phone
(312) 545-0500
Fax
(888) 440-2577
NPI assigned
Dec 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.007767 IL
Pastoral Counselor 101YP1600X 180.007767 IL Primary

Addresses

Primary practice location

36 Main Street
Suite 104
Park Ridge, IL 60068

Mailing address

36 Main Street, Suite 104
Park Ridge, IL 60068
Phone (312) 545-0500

Other names 1

  • Jessica Fox Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180.007767ILMDPastoral Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Park Ridge Psychological Services, LTD Current Accepting new patients
Highland Park Psychology CurrentSince May 4, 2025 Accepting new patients

Locations

1910 1st St
Ste 306
Highland Park, IL 60035
Phone (312) 545-0500

36 Main St
Ste 104
Park Ridge, IL 60068
Phone (312) 545-0500

Organizations & group practices 2

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": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1528336328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MAIN STREET, SUITE 104",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "312-545-0500",
            "fax_number": "888-440-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MAIN STREET",
            "address_2": "SUITE 104",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "312-545-0500",
            "fax_number": "888-440-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX LEVY",
        "first_name": "JESSICA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007767",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "IL",
            "license": "180.007767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "FOX",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.