Active NPI
Jacqueline A Rhew, LCPC, CADC
- Professional Counselor
- Crystal Lake, IL
National Provider Identifier
1760605448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178002848
- Practice address
- 610 Crystal Point Dr Ste 3
Crystal Lake, IL 60014-1400 - Phone
- (815) 477-2270
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178002848 | IL | Primary |
Addresses
Primary practice location
610 Crystal Point Dr Ste 3
Crystal Lake, IL 60014-1400
Mailing address
1389 Eddy LN
Lake Zurich, IL 60047-2959
Phone (847) 668-2842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178002848 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1760605448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1389 EDDY LN",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "600472959",
"telephone_number": "847-668-2842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 CRYSTAL POINT DR STE 3",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600141400",
"telephone_number": "815-477-2270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHEW",
"first_name": "JACQUELINE",
"middle_name": "A",
"credential": "LCPC, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178002848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.