Jennifer Kotecki, PH.D., LPC, ATR-BC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178013916 Issued in IL

Practice address

24W788 75TH St
Naperville, IL 60565-1684

Phone

(224) 699-0235

NPI assigned

Jan 21, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Charlie'S Gift

  • Occupational Therapist
  • Hinsdale, IL
  • NPI 1700043551
  NPD (past)
• The Community House

  • Community/Behavioral Health Agency
  • Hinsdale, IL
  • NPI 1487783031
  NPD (past)

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1578037818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 SPRINGSIDE DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605652242",
            "telephone_number": "630-336-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24W788 75TH ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605651684",
            "telephone_number": "224-699-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTECKI",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178013916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://heart.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Simple Practice",
            "address_1": "24W788 75th St",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605651684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Courtney Eve Kornsey, FNP-C
• Anna Korolczuk
• Igor Kosciuch, BSPT
• Lawrence M Kosova, DPM
• Theresa Kosovrasti, APN-CNP
• Alison D. Kotek, ATC, NASM-PES
• Shruti Antarix Kothadia
• Nicole Kothe, LPC
• Juling Kou, L.AC
• Ritu R Koul, RPT

• Mental Health Counselor in Naperville, IL
• Providers in Naperville, 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 Nov 16, 2022; 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.