Elise Jacob

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180011684 Issued in IL

Practice address

3330 Old Glenview Rd Ste 15
Wilmette, IL 60091-2963

Phone

(847) 256-2000

NPI assigned

Feb 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elise Roug Former name

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Meaningful Steps Therapy PLLC

  • Professional Counselor
  • Naperville, IL
  • NPI 1952245953
  Medicare reassignment NPD Authorized official
• House Calls Behavioral Health, P.C.

  • Community/Behavioral Health Agency
  • Wilmette, IL
  • NPI 1801143052
  NPD (past)

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1770116147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 SOUTH ROUTE 59 PMB 1195",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645941",
            "telephone_number": "630-286-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 OLD GLENVIEW RD STE 15",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912963",
            "telephone_number": "847-256-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "841 Rockbridge Dr",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605408269",
            "country_code": "US",
            "telephone_number": "630-286-9864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOB",
        "first_name": "ELISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180011684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "ROUG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Inner Elements LLC
• Ravadee Inphom, P.T.
• Integrated Holistic Healthcare, S.C.
• Interactive Speech Associates, Inc
• Connie R Izquierdo, M.A. CCC-SLP
• Matthew Jacoby
• Jacqueline Duke, PSYD, LLC
• Ashor Jajou, MSW
• Gerta S Janss, MD
• Jessica Lynn Jarosz

• Professional Counselor in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.