Jennifer Elizabeth Chicoine, M.A., LCPC, CCTP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

101YM0800X Issued in IL

Practice address

15010 S Ravinia Ave Ste 12
Orland Park, IL 60462-5353

Phone

(708) 971-0470

NPI assigned

Aug 17, 2020

Last updated

Jan 15, 2024By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peaceful Healing Counseling Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orland Park, IL
  • NPI 1427755891
  NPD Authorized official

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1902418486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15010 S RAVINIA AVE STE 12",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625353",
            "telephone_number": "708-971-0470",
            "fax_number": "708-590-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15010 S RAVINIA AVE STE 12",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625353",
            "telephone_number": "708-971-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICOINE",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.A., LCPC, CCTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "101YM0800X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
            "identifier": "180.014898",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chicago Neurobehavior Specialists
• Chicago Oral Medicine
• Chicago Rehabilitation Consultants LLC
• Chicago Spine and Joint, S.C.
• Chicagoland Foot and Ankle PC
• Children's Therapy Services
• Childrens Wellness Center LLC
• Joseph Chimienti
• Erica Chin
• Jasmin Ching, PT

• Mental Health Counselor in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.