Individual provider Active NPI

Joann Herman

  • Counselor
  • Crystal Lake, IL
National Provider Identifier
1891812111
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180003647 Issued in IL
Practice address
453 Coventry LN Ste 103
Crystal Lake, IL 60014
Phone
(224) 829-0404
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180003647 IL Primary

Addresses

Primary practice location

453 Coventry LN Ste 103
Crystal Lake, IL 60014

Mailing address

453 Coventry LN Ste 103
Crystal Lake, IL 60014-7504
Phone (224) 829-0404

Other practice location 1

457 Coventry Ln Ste 121
Crystal Lake, IL 60014-7571
Phone (224) 829-0404

Other practice location 2

820 E Terra Cotta Ave Ste 144
Crystal Lake, IL 60014-3634
Phone (847) 413-9700 ext. 352

Other practice location 3

4100 Veterans Parkway
McHenry, IL 60050
Phone (815) 385-6400

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
I20250113002479 IL Practitioner - Mental Health Counselor 6103354576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

453 Coventry LN
Suite 103
Crystal Lake, IL 60014-7504
Phone (224) 829-0404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Associates PLLC Counselor CurrentSince Mar 23, 2007 Accepting new patients
JH Counseling Services, LLC Counselor CurrentSince Mar 23, 2007 Accepting new patients

Locations

457 Coventry Ln
Ste 121
Crystal Lake, IL 60014
Phone (224) 829-0404

453 Coventry Ln
Ste 103
Crystal Lake, IL 60014
Phone (224) 829-0404

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1891812111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 COVENTRY LN STE 103",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147504",
            "telephone_number": "224-829-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 COVENTRY LN STE 103",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "60014",
            "telephone_number": "224-829-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "457 Coventry Ln Ste 121",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600147571",
            "country_code": "US",
            "telephone_number": "224-829-0404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 E Terra Cotta Ave Ste 144",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600143634",
            "country_code": "US",
            "telephone_number": "847-413-9700 x352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4100 Veterans Parkway",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "60050",
            "country_code": "US",
            "telephone_number": "815-385-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "JOANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180003647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.