Individual provider Active NPI

Jennifer Joanne King, MA, LCPC, CRC

  • Professional Counselor
  • Batavia, IL
National Provider Identifier
1851923924
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.011894 Issued in IL
Practice address
515 N River St Ste 200
Batavia, IL 60510-2784
Phone
(630) 934-1095
Fax
(630) 912-4364
NPI assigned
Feb 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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 180.011894 IL Primary

Addresses

Primary practice location

515 N River St Ste 200
Batavia, IL 60510-2784

Mailing address

1027 S Harrison St
Batavia, IL 60510-3027
Phone (630) 673-1216

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
I20240110000287 IL Practitioner - Mental Health Counselor 5294186623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgina Srinivas Rao, M.D., S.C.Group PAC ID 1052477981, 11 clinicians

Practice addresses (Care Compare)

1024 W Main St
Saint Charles, IL 60174-1745
Phone (630) 262-2640

515 N River St
Suite 200
Batavia, IL 60510-2784
Phone (630) 934-1095

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
180.011894ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquil Feather Counseling PLLC Professional CurrentSince Oct 3, 2025 Accepting new patients
Georgina Srinivas Rao, M.D., S.C. CurrentSince Jan 1, 2024 Accepting new patients

Locations

515 N River St
Ste 200
Batavia, IL 60510
Phone (630) 673-1216

1024 W Main St
St Charles, IL 60174
Phone (630) 262-2640

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1851923924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 S HARRISON ST",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605103027",
            "telephone_number": "630-673-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N RIVER ST STE 200",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605102784",
            "telephone_number": "630-934-1095",
            "fax_number": "630-912-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JENNIFER",
        "middle_name": "JOANNE",
        "credential": "MA, LCPC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.011894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, IL

Sources for this page

Verify at the official NPI Registry.