Individual provider Active NPI

Jennifer Kepler

  • Clinical Social Worker
  • Oak Brook, IL
National Provider Identifier
1558415398
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-003921 Issued in IL
Practice address
2625 Butterfield Rd Ste 101N
Oak Brook, IL 60523
Phone
(630) 586-0900
Fax
(630) 586-9990
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149-003921 IL Primary

Addresses

Primary practice location

2625 Butterfield Rd Ste 101N
Oak Brook, IL 60523

Mailing address

2625 Butterfield Rd Ste 101N
Oak Brook, IL 60523-3405
Phone (630) 586-0900

Other practice location 1

200 S Main St
Naperville, IL 60540-5359
Phone (630) 586-0900

Other practice location 2

535 S Washington St
Naperville, IL 60540-6795
Phone (630) 586-0900 ext. 22

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
I20041027000561 IL Practitioner - Clinical Social Worker 6507828159 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 clinicians

Practice addresses (Care Compare)

15025 S Des Plaines St
Suite 201 205
Plainfield, IL 60544-1868
Phone (888) 428-7890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-003921ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood Clinical Services, P.C. Clinical CurrentSince Apr 23, 2024 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Aug 2, 2024 Accepting new patients
Elmhurst Memorial Hospital Past Accepting new patients
Psychology Specialists LTD Clinical Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

332 S Michigan Ave
Chicago, IL 60604
Phone (773) 633-7479

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

3027 English Rows Ave
Ste 201
Naperville, IL 60564

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

15025 S Des Plaines St
Ste 201205
Plainfield, IL 60544

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.jennykepler@146897.advancedmd-direct.com

Organizations & group practices 5

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1558415398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 101N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605233405",
            "telephone_number": "630-586-0900",
            "fax_number": "630-586-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 101N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "60523",
            "telephone_number": "630-586-0900",
            "fax_number": "630-586-9990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S Main St",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605405359",
            "country_code": "US",
            "telephone_number": "630-586-0900",
            "fax_number": "630-586-9990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605406795",
            "country_code": "US",
            "telephone_number": "630-586-0900 x22",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEPLER",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-003921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.