Jennifer Crumb Perez, MA, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.010128 Issued in IL

Practice address

7851 185TH Street
Suite 203
Tinley Park, IL 60477-6248

Phone

(708) 963-0333

Fax

(708) 665-1829

NPI assigned

May 9, 2014

Last updated

May 27, 2024By the provider in NPPES

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

• Jennifer Crumb Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

• Thriving Lives Counseling, LLC

  • Professional Counselor
  • Tinley Park, IL
  • NPI 1740702596
  NPD Authorized official

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1841601150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7851 185TH STREET",
            "address_2": "SUITE 203",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776248",
            "telephone_number": "708-963-0333",
            "fax_number": "708-665-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7851 185TH STREET",
            "address_2": "SUITE 203",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776248",
            "telephone_number": "708-963-0333",
            "fax_number": "708-665-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMB PEREZ",
        "first_name": "JENNIFER",
        "credential": "MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-09",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CRUMB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Professional Counselor in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; 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.