Halley Elyse Wilson Jacobs, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.016094 Issued in IL

Practice address

3375 N Arlington Heights Rd Ste J
Arlington Heights, IL 60004-7701

Phone

(847) 904-1011

NPI assigned

May 31, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1902646326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 N ARLINGTON HEIGHTS RD STE J",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047701",
            "telephone_number": "847-904-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 N ARLINGTON HEIGHTS RD STE J",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047701",
            "telephone_number": "847-904-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "HALLEY",
        "middle_name": "ELYSE WILSON",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.016094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariola Jackowski, M.D
• Jasmine Jackson
• Robert B Jackson
• Jacob L. Moskovic, M.D. S.C.
• Jisha M Jacob
• Rachel Jacobs
• Allyson F Jacobson, MD
• Cameron Jacobson, PA-C
• Jacqueline Rhew, LCPC, LTD
• Zehra Jaffery, MD

• Mental Health Counselor in Arlington Heights, IL
• Providers in Arlington Heights, 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 May 31, 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.