Jenna Anderson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

444 N Northwest Hwy Ste 207
Park Ridge, IL 60068-3292

Phone

(331) 240-0044

NPI assigned

Sep 3, 2024

Last updated

Sep 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Counseling Speaks

  • Clinical Social Worker
  • Barrington, IL
  • NPI 1396132601

  Mental Health

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1568297349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S COOK ST # 192",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600104311",
            "telephone_number": "331-240-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST HWY STE 207",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683292",
            "telephone_number": "331-240-0044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 N Michigan Ave Ste 9012",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606017713",
            "country_code": "US",
            "telephone_number": "331-240-0044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 E Wisconsin Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600451723",
            "country_code": "US",
            "telephone_number": "331-240-0044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 S Cook St # 192",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "600104311",
            "country_code": "US",
            "telephone_number": "331-240-0044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 N Michigan Ave Ste 335",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606017710",
            "country_code": "US",
            "telephone_number": "331-240-0044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Donald Anderson, DENTIST
• Brittany Nicole Anderson, LCSW
• Claudia Thea Anderson, D.D.S
• Donald B. Anderson, D.D.S.
• Ethan Jerrick Anderson
• Martin Emil Anderson Jr., M.D.
• Patricia Jean Anderson, LCPC
• Nimfa Andrade
• Andrea Bazan, M.D, S.C
• Bernard P Andres, APN-CNP

• Mental Health Counselor in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.