Jeffrey Scott Zajkowski, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178011494 Issued in IL

Practice address

7210 E State St
Suite 206
Rockford, IL 61108-2622

Phone

(815) 737-8673

Fax

(815) 708-8248

NPI assigned

Nov 23, 2015

Last updated

Nov 23, 2015By the provider in NPPES

Sex

Male

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

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

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

• Phoenix Counseling and Recovery LLC

  • Mental Health Counselor
  • Rockford, IL
  • NPI 1871295618
  Medicare reassignment NPD Authorized official
• Restore Counseling & Recovery, Inc.

  • Clinical Social Worker
  • Loves Park, IL
  • NPI 1588909923
  NPD (past)

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1942674395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 E STATE ST",
            "address_2": "SUITE 206",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082622",
            "telephone_number": "815-737-8673",
            "fax_number": "815-708-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 E STATE ST",
            "address_2": "SUITE 206",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082622",
            "telephone_number": "815-737-8673",
            "fax_number": "815-708-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAJKOWSKI",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178011494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronika Yurchenko, PHARMD
• Fazlur R. Zahurullah, MD
• Aniqa Junaid Zaidi, DO
• Syed Rafe Zaidi, M.D.
• Raynel Zaitona
• Joseph L Zakarija, DDS
• Mohammed S Zaman, DO
• Peter Angelo Zammuto, PSY.D.
• Noemi Zamudio, CNP
• Richard L Zanocco, D.D.S.

• Professional Counselor in Rockford, IL
• Providers in Rockford, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.