Individual provider Active NPI

Jennette Siebens, LCPC

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1780973701
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.007377 Issued in IL
Practice address
905 N Main St
Naperville, IL 60563-2631
Phone
(331) 276-2460
NPI assigned
Mar 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.007377 IL Primary

Addresses

Primary practice location

905 N Main St
Naperville, IL 60563-2631

Mailing address

304 E Grand Lake Blvd
West Chicago, IL 60185-2261
Phone (331) 276-2460

Other practice location 1

847 N Center St
Naperville, IL 60563-3142
Phone (630) 527-6322

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
180.007377ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Association of Greater Elgin Area CurrentSince Nov 20, 2022 Accepting new patients

Locations

1752 Capital St
Ste 100
Elgin, IL 60124
Phone (847) 695-3680

1752 Capital St
Elgin, IL 60124
Phone (847) 695-3680

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1780973701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E GRAND LAKE BLVD",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601852261",
            "telephone_number": "331-276-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N MAIN ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632631",
            "telephone_number": "331-276-2460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "847 N Center St",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605633142",
            "country_code": "US",
            "telephone_number": "630-527-6322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEBENS",
        "first_name": "JENNETTE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.