Jessica Catherine Rodriguex Wellmaker, LCPC, ASOP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.015662 Issued in IL

Practice address

1720 Broadway St
Mount Vernon, IL 62864-2930

Phone

(408) 656-0623

NPI assigned

Nov 27, 2023

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

Enrolled in IL, IN, ID3 enrollments

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 3

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  ID, IL, IN, Professional

  Medicare reassignment NPD
• JCRX Mental Health Services PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Vernon, IL
  • NPI 1639905409
  NPD Authorized official

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1952177461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 MAPLE ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628643547",
            "telephone_number": "408-656-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 BROADWAY ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642930",
            "telephone_number": "408-656-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEX WELLMAKER",
        "first_name": "JESSICA CATHERINE",
        "credential": "LCPC, ASOP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.015662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Roach, NP
• Jennifer Lynn Robinet, ATC
• Celeste Robinson, LCSW
• Myles Robison
• Shelby Leeann Rodgers, LCSW
• Isabel Rodriguez Hernandez, REGISTER NURSE-IBCLC
• Tara Roeckenhaus
• Candy Jo Rogers, COTAIL
• Carla R. Rogers, NP-C
• Brenda Lee Roman, CD

• Professional Counselor in Mount Vernon, IL
• Providers in Mount Vernon, 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 28, 2023; 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.