Jennifer Nelson, L.C.P.C., C.A.D.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180010004 Issued in IL

Practice address

1200 S York St Ste 3250
Elmhurst, IL 60126-5629

Phone

(630) 336-3512

NPI assigned

Feb 1, 2017

Last updated

Feb 1, 2017By the provider in NPPES

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

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1871031591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S YORK ST STE 3250",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265629",
            "telephone_number": "630-336-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S YORK ST STE 3250",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265629",
            "telephone_number": "630-336-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JENNIFER",
        "credential": "L.C.P.C., C.A.D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "30340",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Neagle
• Lisa M. Nee, M.D.
• Margaret Anne Neely, APRN
• Brittany Christin Nelson
• David Alan Nelson, DDS
• Lisa M Nelson, APRN
• Thomas Lee Nelson, D.D.S.
• Athena Neofotistos, LCPC
• Ulyana Nepokulchytska, MHS, PA-C
• Neurobehavioral Medicine Consultants LTD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.