Jessica S Kirchberg, LCPC (IL), LPC (CO)

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.013805 Issued in IL

Practice address

2950 W Chicago Ave Ste 202
Chicago, IL 60622-4377

Phone

(224) 377-0390

NPI assigned

Jan 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Inner Door Therapy LLC

  • Professional Counselor
  • Arvada, CO
  • NPI 1518891530
  NPD Authorized official
• Agave Studio, LLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1023427861
  NPD (past)

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

{
    "created_epoch": "1515283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1851808240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5618 YARROW ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022442",
            "telephone_number": "224-377-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 W CHICAGO AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224377",
            "telephone_number": "224-377-0390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8795 Ralston Rd Ste 114B",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800022364",
            "country_code": "US",
            "telephone_number": "224-377-0390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRCHBERG",
        "first_name": "JESSICA",
        "middle_name": "S",
        "credential": "LCPC (IL), LPC (CO)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-07",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0017642",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.013805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Kirby, MSW, LCSW
• Lea Kirby
• Marlon S. Kirby, MD
• Mary Kirby, RN APN CNS
• Nicholas Kirch, M.D.
• Jacqueline Kircher, LCPC
• Sheetal M Kircher, M.D.
• Ryan William Kirdahy, PA-C
• Kireet Agrawal Incorporated
• Andrea Kirincic Simovic, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.