Jaclyn Hofstetter, M.S., LPC-IT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.019354 Issued in IL

Practice address

2600 Warrenville Rd Ste 205
Downers Grove, IL 60515-1761

Phone

(847) 477-8244

NPI assigned

Jan 30, 2023

Last updated

Sep 26, 2023By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Creative Clinical Consulting LLC

  dba Center for Creative Arts Therapy

  • Professional Counselor
  • Downers Grove, IL
  • NPI 1558889071
  NPD

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1720794902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 POPLAR LN",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605614251",
            "telephone_number": "630-432-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 WARRENVILLE RD STE 205",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151761",
            "telephone_number": "847-477-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFSTETTER",
        "first_name": "JACLYN",
        "credential": "M.S., LPC-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7173-226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.019354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca C Hoesli, MD
• Lindsey Hoff
• Kimberly S Hoffer, M.A., CCC-SLP
• Mary Lucille Hoffman, LCSW
• Stephanie Hoffman
• John L Holden, MD
• Jared Holtgrave, DVM
• Home Dialysis & Kidney Care Limited
• Home Mobility Solutions, Inc
• Hope Forest Therapeutic Art Studio

• 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 Sep 26, 2023; 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.