Jennifer L McComb, M.SC, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166000717 Issued in IL

Practice address

1830 Sherman Ave Ste 205
Evanston, IL 60201-3771

Phone

(847) 840-9575

NPI assigned

May 12, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 27, 2024 through Sep 27, 2026

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Jennifer McComb PLLC

  • Marriage & Family Therapist
  • Evanston, IL
  • NPI 1619357241
  NPD Authorized official

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1922232487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 JUDSON AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021316",
            "telephone_number": "312-208-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 SHERMAN AVE STE 205",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013771",
            "telephone_number": "847-840-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMB",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "M.SC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin McCarthy Jr., PH.D.
• Theodora Elise McClain-Cohen
• McClure -Eamec Inc
• James H McClure Jr., MD
• Cyniah McClurkin, APN-CRNA
• Michael Joseph McCormick, MD
• James Ian McCrackan, DC
• Mariana McCune, MD
• Megan Elisabeth McDaniel, LPC
• Kaitland McDonald

• Marriage & Family Therapist in Evanston, IL
• Providers in Evanston, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.