Individual provider Active NPI

Jessica Galvan

  • Professional Counselor
  • New Lenox, IL
National Provider Identifier
1942949706
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.016782 Issued in IL
Practice address
1938 E Lincoln Hwy Ste 209C
New Lenox, IL 60451-3810
Phone
(708) 232-8901
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.016782 IL Primary

Addresses

Primary practice location

1938 E Lincoln Hwy Ste 209C
New Lenox, IL 60451-3810

Mailing address

1938 E Lincoln Hwy Ste 209C
New Lenox, IL 60451-3810
Phone (708) 232-8901

Other practice location 1

1919 S Highland Ave Ste 325A
Lombard, IL 60148-6181
Phone (630) 613-8176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180.016782ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
First Response Therapy PLLC Professional CurrentSince Apr 20, 2025 Accepting new patients

Locations

20855 S Lagrange Rd
Ste 100
Frankfort, IL 60423
Phone (708) 224-9736

1938 E Lincoln Hwy
Ste 209C
New Lenox, IL 60451
Phone (708) 232-8901

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1942949706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 E LINCOLN HWY STE 209C",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513810",
            "telephone_number": "708-232-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 E LINCOLN HWY STE 209C",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513810",
            "telephone_number": "708-232-8901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 S Highland Ave Ste 325A",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "601486181",
            "country_code": "US",
            "telephone_number": "630-613-8176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALVAN",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.016782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.