Individual provider Active NPI

Jennifer Welbel

  • Professional Counselor
  • Northbrook, IL
National Provider Identifier
1780029652
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.009967 Issued in IL
Practice address
900 Skokie Blvd Ste 120
Northbrook, IL 60062-4014
Phone
(224) 326-0068
NPI assigned
May 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X 180.009967 IL Primary

Addresses

Primary practice location

900 Skokie Blvd Ste 120
Northbrook, IL 60062-4014

Mailing address

900 Skokie Blvd Ste 120
Northbrook, IL 60062-4014

Other practice location 1

60 Revere Dr
Suite 100
Northbrook, IL 60062-1563
Phone (847) 638-1984

Other practice location 2

1500 Skokie Blvd Ste 305
Northbrook, IL 60062-4114
Phone (847) 638-1984

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

LicenseStateTypeSpecialty
180.009967ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
North Suburban Center for Anxiety, LLC Professional CurrentSince Jun 25, 2023 Accepting new patients

Locations

900 Skokie Blvd
Ste 120
Northbrook, IL 60062
Phone (224) 326-0068

1500 Skokie Blvd
Ste 305
Northbrook, IL 60062
Phone (847) 638-1984

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1780029652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 120",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 120",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624014",
            "telephone_number": "224-326-0068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Revere Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600621563",
            "country_code": "US",
            "telephone_number": "847-638-1984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Skokie Blvd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600624114",
            "country_code": "US",
            "telephone_number": "847-638-1984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELBEL",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.