Jenna Jablonski, LPC, CADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.015342 Issued in IL

Practice address

1416 W Belmont Ave
Chicago, IL 60657-0939

Phone

(773) 799-8966

NPI assigned

Nov 20, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 17, 2025 through Oct 17, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1700422284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 W DIVERSEY AVE APT 217",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471368",
            "telephone_number": "616-648-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606570939",
            "telephone_number": "773-799-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABLONSKI",
        "first_name": "JENNA",
        "credential": "LPC, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "36078",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.015342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie N. Jabine, M.D.
• Michael Jablon, MD
• Urszula Bolena Jablonska, M.D.
• Mackenzie Jablonski Bradley, MD
• Gerald J Jablonski
• Renea Jablonski
• Kathryn Claire Jablonsky, MED
• Ayman M Jabr, MD
• Cynthia Jacinthe, APN, PMHNP-BC, CNM
• Jack and Jill Therapy Enterprises Inc

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, 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 Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.