Jessica Mueller

Primary specialty

CounselorTaxonomy code 101Y00000X

License

149019603 Issued in IL

Practice address

3380 Lacrosse LN Ste 106
Naperville, IL 60564-8528

Phone

(630) 318-0040

Fax

(630) 982-4120

NPI assigned

Sep 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Still Tides Counseling Services, LTD

  • Clinical Social Worker
  • Naperville, IL
  • NPI 1972241065
  NPD Authorized official

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922527282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 LACROSSE LN STE 106",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648528",
            "telephone_number": "630-318-0040",
            "fax_number": "630-982-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 LACROSSE LN STE 106",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648528",
            "telephone_number": "630-318-0040",
            "fax_number": "630-982-4120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Main St Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "IL",
            "postal_code": "605438592",
            "country_code": "US",
            "telephone_number": "630-519-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "149019603",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149019603",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MSB Medical, PLLC
• MSPS Surgical Inc.
• MTW Clinical Therapy Services
• Jill Mudge
• Eric Mueller, LCSW,CADC
• Jordan Elise Mueller
• Linda E Mueller, MD
• Khaalid Ahmad Muhammad
• Fouzia Muhammedkarim, MD
• Celine Mui

• Counselor in Naperville, IL
• Providers in Naperville, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.