Active NPI
Jennifer Kepler
- Clinical Social Worker
- Oak Brook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-003921
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149-003921 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Clinical Services, P.C. | Clinical | Current | Accepting new patients |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | 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
- 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.
-
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
-
- Clinical Psychologist
- Bloomington, IL
- NPI 1053368605
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.