Active NPI
Jessica Fox Levy, LCPC
- Pastoral Counselor
- Park Ridge, IL
National Provider Identifier
1528336328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- 180.007767
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180.007767 | IL | MD | Pastoral Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Ridge Psychological Services, LTD | Current | Accepting new patients | |
| Highland Park Psychology | Current | 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.
-
- Mental Health Counselor
- Highland Park, IL
- NPI 1629867270
-
- Clinical Psychologist
- Park Ridge, IL
- NPI 1366557977
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.