Individual provider Active NPI

Jessica Blumberg, LCPC

  • Professional Counselor
  • Bloomingdale, IL
National Provider Identifier
1720690332
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180014791 Issued in IL
Practice address
255 E Lake St Ste 200
Bloomingdale, IL 60108-1287
Phone
(815) 295-5470
NPI assigned
Aug 17, 2020
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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 180014791 IL Primary

Addresses

Primary practice location

255 E Lake St Ste 200
Bloomingdale, IL 60108-1287

Mailing address

3357 W Potomac Ave
Chicago, IL 60651-2322
Phone (630) 394-8442

Other names 1

  • Jessica Weinkam Former name

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
I20241123000378 IL Practitioner - Mental Health Counselor 3476088790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essentially You Counseling and Wellness Services, LLCGroup PAC ID 5294110516, 4 clinicians

Practice addresses (Care Compare)

255 E Lake St
Suite 200
Bloomingdale, IL 60108-1287
Phone (815) 295-5470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Essentially You Counseling and Wellness Services, LLC CurrentSince Nov 18, 2024 Accepting new patients

Locations

125 Fairfield Way
Ste 380
Bloomingdale, IL 60108
Phone (815) 219-3193

255 E Lake St
Ste 200
Bloomingdale, IL 60108
Phone (815) 295-5470

440 W Boughton Rd
Ste 104
Bolingbrook, IL 60440
Phone (331) 318-8181

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1720690332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3357 W POTOMAC AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512322",
            "telephone_number": "630-394-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E LAKE ST STE 200",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081287",
            "telephone_number": "815-295-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMBERG",
        "first_name": "JESSICA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WEINKAM",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.