Individual provider Active NPI

Jennie Hegwood

  • Counselor
  • Aurora, IL
National Provider Identifier
1679061386
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
70 S River St
Aurora, IL 60506-5185
Phone
(630) 844-2662
Fax
(630) 844-3084
NPI assigned
Apr 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

70 S River St
Aurora, IL 60506-5185

Mailing address

70 S River St
Aurora, IL 60506-5185
Phone (630) 844-2662

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
I20240626000826 IL Practitioner - Mental Health Counselor 7214471762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alw Group GrowGroup PAC ID 3971910530, 17 clinicians

Practice addresses (Care Compare)

200 E 5TH Ave
Suite 109
Naperville, IL 60563-3173
Phone (331) 457-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alw Group Grow Counselor CurrentSince Nov 1, 2024 Accepting new patients
Family Counseling Service of Aurora CurrentSince May 13, 2024 Accepting new patients
Family Counseling Service of Aurora CurrentSince May 13, 2024 Accepting new patients

Locations

70 S River St
Aurora, IL 60506
Phone (630) 844-2662

200 E 5th Ave
Ste 109
Naperville, IL 60563
Phone (331) 248-6194

Organizations & group practices 3

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": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1679061386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S RIVER ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605065185",
            "telephone_number": "630-844-2662",
            "fax_number": "630-844-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 S RIVER ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605065185",
            "telephone_number": "630-844-2662",
            "fax_number": "630-844-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGWOOD",
        "first_name": "JENNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.