Individual provider Active NPI

Jennifer C Froemel, M.A., L.C.P.C.

  • Professional Counselor
  • Oak Park, IL
National Provider Identifier
1790749620
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180003010 Issued in IL
Practice address
715 Lake St Ste 800
Oak Park, IL 60301-1417
Phone
(312) 343-7400
Fax
(708) 294-3699
NPI assigned
Apr 17, 2006
Last updated
Feb 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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 180003010 IL Primary

Addresses

Primary practice location

715 Lake St Ste 800
Oak Park, IL 60301-1417

Mailing address

3640 Prairie Avenue
Brookfield, IL 60513-3015
Phone (312) 343-7400

Other identifiers 4

IdentifierTypeStateIssuer
202591OtherILMEDICARE
1617631OtherILBLUE CROSS BLUE SHIELD
1634705OtherILBCBS PPO
248001003MedicaidIL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240104003428 IL Practitioner - Mental Health Counselor 2466877550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Innovative Counseling Partners LLCGroup PAC ID 0749605830, 14 clinicians

Practice addresses (Care Compare)

715 Lake St
Suite 273
Oak Park, IL 60301-1411
Phone (773) 312-3612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180003010ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Counseling Partners LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

15 Spinning Wheel Rd
Ste 406
Hinsdale, IL 60521

715 Lake St
Ste 273
Oak Park, IL 60301
Phone (708) 848-3800

715 Lake St
Ste 800
Oak Park, IL 60301
Phone (708) 848-4188

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1790749620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 PRAIRIE AVENUE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605133015",
            "telephone_number": "312-343-7400",
            "fax_number": "708-294-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 LAKE ST STE 800",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011417",
            "telephone_number": "312-343-7400",
            "fax_number": "708-294-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROEMEL",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "M.A., L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180003010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "202591",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1617631",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PPO",
            "identifier": "1634705",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248001003",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.