Individual provider Active NPI

Jessica Nicole Norman, PHD LCPC

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1710242284
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180010623 Issued in IL
Practice address
24W500 Maple Ave Ste 216
Naperville, IL 60540-6057
Phone
(630) 423-6010
Fax
(844) 270-7898
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180010623 IL Primary

Addresses

Primary practice location

24W500 Maple Ave Ste 216
Naperville, IL 60540-6057

Mailing address

24W500 Maple Ave Ste 216
Naperville, IL 60540-6057
Phone (630) 423-6010

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
I20250905002968 IL Practitioner - Mental Health Counselor 7012419302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transformative Community Health Inc 2 clinicians

Practice addresses (Care Compare)

24 W500 Maple Ave
Suite 216
Naperville, IL 60540-6057
Phone (630) 423-6010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Transformative Community Health Inc CurrentSince Jan 1, 2025 Accepting new patients
Transformative Growth LLC PastSince Jul 13, 2025 Accepting new patients

Locations

24W500 Maple Ave
Ste B
Naperville, IL 60540

24W500 Maple Ave
Ste 216
Naperville, IL 60540
Phone (630) 423-6010

24W500 Maple Ave
Ste 216A
Naperville, IL 60540
Phone (630) 423-6010

Organizations & group practices 2

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1710242284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24W500 MAPLE AVE STE 216",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406057",
            "telephone_number": "630-423-6010",
            "fax_number": "844-270-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24W500 MAPLE AVE STE 216",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406057",
            "telephone_number": "630-423-6010",
            "fax_number": "844-270-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHD LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.