Individual provider Active NPI

Ivy Shenell Jones, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Arlington Heights, IL
National Provider Identifier
1568196137
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209025073 Issued in IL
Practice address
1120 N Arlington Heights Rd
Arlington Heights, IL 60004-4767
Phone
(847) 342-1554
Fax
(847) 342-1711
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209025073 IL Primary

Addresses

Primary practice location

1120 N Arlington Heights Rd
Arlington Heights, IL 60004-4767

Mailing address

1120 N Arlington Heights Rd
Arlington Heights, IL 60004-4767
Phone (847) 342-1554

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230207001046 IL Practitioner - Nurse Practitioner 9133591878 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

401 9TH St
Lacon, IL 61540-1140
Phone (866) 959-2008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209025073ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network Current Accepting new patients
Access Community Health Network CurrentSince Jan 9, 2023 Accepting new patients
Forefront-Rosenzweig Medical Services Professional Corporation CurrentSince Jun 23, 2025 Accepting new patients
Access Community Health Network CurrentSince Jan 9, 2023 Accepting new patients
Rodasi LLC Psychiatric/Mental Health CurrentSince Apr 24, 2023 Accepting new patients

Locations

1120 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 342-1554

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

2500 W Higgins Rd
Ste 105
Hoffman Estates, IL 60169
Phone (773) 904-0094

401 9th St
Lacon, IL 61540
Phone (309) 246-2175

684 S Barrington Rd
Streamwood, IL 60107
Phone (630) 883-0815

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

Interoperability endpoints

  • Direct secure messaging: ijones22877@direct.achn.net
  • Direct secure messaging: ivy.jones.1@24287.direct.athenahealth.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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1568196137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044767",
            "telephone_number": "847-342-1554",
            "fax_number": "847-342-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044767",
            "telephone_number": "847-342-1554",
            "fax_number": "847-342-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "IVY",
        "middle_name": "SHENELL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209025073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.