Individual provider Active NPI

Karen M. Watson-Jarvis, LCPC

  • Professional Counselor
  • Wheaton, IL
National Provider Identifier
1558449686
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2100 Manchester Rd
Suite 1510
Wheaton, IL 60187-4579
Phone
(630) 653-1717
Fax
(630) 653-1025
NPI assigned
Nov 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X IL Primary

Addresses

Primary practice location

2100 Manchester Rd
Suite 1510
Wheaton, IL 60187-4579

Mailing address

2100 Manchester Rd
Suite 1510
Wheaton, IL 60187-4579
Phone (630) 653-1717

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
I20240423001840 IL Practitioner - Mental Health Counselor 6608215603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VCC Counseling, Inc.Group PAC ID 1759486673, 7 clinicians

Practice addresses (Care Compare)

460 Briargate Dr
Suite 700
South Elgin, IL 60177-2284
Phone (847) 488-1999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180-000578ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meier Clinics of Illinois, P.C. CurrentSince Apr 4, 2024 Accepting new patients
VCC Counseling, Inc. Professional CurrentSince Apr 2, 2025 Accepting new patients
Meier Clinics of Illinois, P.C. Professional CurrentSince Apr 4, 2024 Accepting new patients
Meier Clinics of Illinois, P.C. Current Accepting new patients

Locations

1240 Bamburg Ct
Ste 3A
Hanover Park, IL 60133
Phone (847) 372-6599

460 Briargate Dr
Ste 700
South Elgin, IL 60177
Phone (847) 488-1999

2100 Manchester Rd
Ste 1510
Wheaton, IL 60187
Phone (708) 653-1717

Organizations & group practices 4

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558449686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD",
            "address_2": "SUITE 1510",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874579",
            "telephone_number": "630-653-1717",
            "fax_number": "630-653-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD",
            "address_2": "SUITE 1510",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874579",
            "telephone_number": "630-653-1717",
            "fax_number": "630-653-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON-JARVIS",
        "first_name": "KAREN",
        "middle_name": "M.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.