Jennifer Buckler, L.C.P.C., A.T.R.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.010189 Issued in IL

Practice address

4336 Saratoga Ave
2ND Floor
Downers Grove, IL 60515-2866

Phone

(847) 477-8244

NPI assigned

Feb 10, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Creative Clinical Consulting LLC

  • Professional Counselor
  • Downers Grove, IL
  • NPI 1558889071
  NPD (past)

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487376000000",
    "number": "1639617509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 N HONORE ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221308",
            "telephone_number": "937-554-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4336 SARATOGA AVE",
            "address_2": "2ND FLOOR",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152866",
            "telephone_number": "847-477-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLER",
        "first_name": "JENNIFER",
        "credential": "L.C.P.C., A.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Bruni
• Malgorzata Bryja
• Kimberly Allison Bryze, PHD, OTR/L
• Laura Bucaro, CCC-SLP
• Karla Alaine Ciombor Buck, NCC, LCPC, CADC, CGP
• Susan Lynne Buckley, PT
• Margaret E Buell, DMD
• Dominick Vincent Bufalino, M.D.
• Stephanie T Bui, D.O.
• Alyssa Michelle Buie

• Professional Counselor in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2017; 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.