Jennifer Martin Rieck, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.015243 Issued in IL

Practice address

1117 S Milwaukee Ave Ste A12
Libertyville, IL 60048-5268

Phone

(224) 277-6445

NPI assigned

Jan 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Newton Martin Former name

Medicare fee-for-service enrollment

Enrolled in IL, WI2 enrollments

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 2

Medicare enrollment (NPD)

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  IL, WI

  Medicare reassignment NPD
• The McKnight Group LLC

  • Professional Counselor
  • Libertyville, IL
  • NPI 1447778972
  NPD

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1851865539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 S MILWAUKEE AVE STE A12",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485268",
            "telephone_number": "224-277-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S MILWAUKEE AVE STE A12",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485268",
            "telephone_number": "224-277-6445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 Florsheim Dr Ste 11",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600483712",
            "country_code": "US",
            "telephone_number": "224-424-4194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIECK",
        "first_name": "JENNIFER",
        "middle_name": "MARTIN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2023-09-27",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.015243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MARTIN",
            "middle_name": "NEWTON",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard P Weber Psy.D.
• Sarah Richards, MS
• Jordan Miranda Richmond, PT, DPT
• Jody L Ricketts, OD
• Lucy Rickspoone, PSY. D.
• Mark Riederman, M.D.
• Sarah Elizabeth Rieger, M.S., BCBA
• Jack Rieke, DC
• Right Now, LLC
• Jetzibie Rios

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.