Organization Active NPI

Tartan Counseling LLC

  • Counselor
  • Wheaton, IL
National Provider Identifier
1740148873
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
TARTAN COUNSELING LLC
Practice address
107 N Hale St
Wheaton, IL 60187-5117
Phone
(630) 779-0974
Fax
(630) 716-9649
NPI assigned
Jan 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Mr. Andrew S Jack, LCPCNPI 1265864797
Title
Owner
Phone
(630) 779-0974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

107 N Hale St
Wheaton, IL 60187-5117

Mailing address

107 N Hale St
Wheaton, IL 60187-5117
Phone (630) 779-0974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260505000908 IL Part B Supplier - Clinic/Group Practice 6103394531 Receives reassigned benefits from 1 practitioner
Practice locations: Wheaton, IL

National Provider Directory

National Provider Directory

Locations

107 N Hale St
Ste 214
Wheaton, IL 60187

107 N Hale St
Wheaton, IL 60187
Phone (630) 779-0974

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1740148873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N HALE ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875117",
            "telephone_number": "630-779-0974",
            "fax_number": "630-716-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N HALE ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875117",
            "telephone_number": "630-779-0974",
            "fax_number": "630-716-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARTAN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "JACK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-779-0974",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.