Individual provider Active NPI

Jennie Andersen-Drake

  • School Psychologist
  • Aurora, IL
National Provider Identifier
1871413898
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
2060228 Issued in IL
Practice address
310 Seminary Ave
Aurora, IL 60505-4768
Phone
(630) 299-8071
NPI assigned
Jul 20, 2026
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 2060228 IL Primary

Addresses

Primary practice location

310 Seminary Ave
Aurora, IL 60505-4768

Mailing address

500 Tomcat LN
Aurora, IL 60505-5006
Phone (630) 299-8071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1871413898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 TOMCAT LN",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605055006",
            "telephone_number": "630-299-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SEMINARY AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605054768",
            "telephone_number": "630-299-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN-DRAKE",
        "first_name": "JENNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "2060228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.