Individual provider Active NPI

Jennifer Rae Flanagan

  • Mental Health Counselor
  • Waukegan, IL
National Provider Identifier
1962026971
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
671 S Lewis Ave
Waukegan, IL 60085-6101
Phone
(847) 782-4000
NPI assigned
Jun 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

671 S Lewis Ave
Waukegan, IL 60085-6101

Mailing address

1102 Williams Ave
Deerfield, IL 60015-2150
Phone (847) 858-4653

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250321003418 IL Practitioner - Mental Health Counselor 7911429683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherry Hill Associates, LLCGroup PAC ID 1557523552, 25 clinicians

Practice addresses (Care Compare)

1100 E Washington St
Suite 101
Grayslake, IL 60030-7963
Phone 8473054949102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Hill Associates, LLC CurrentSince Mar 6, 2025 Accepting new patients
Mental Health Partnership LTD PastSince Oct 26, 2022 Accepting new patients

Locations

1100 E Washington St
Grayslake, IL 60030

1100 E Washington St
Ste 101
Grayslake, IL 60030
Phone (847) 305-4954

61 S Old Rand Rd
Lake Zurich, IL 60047
Phone (847) 438-4222

5435 Bull Valley Rd
Ste 206
McHenry, IL 60050
Phone (815) 575-8181

Organizations & group practices 2

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": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1962026971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 WILLIAMS AVE",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600152150",
            "telephone_number": "847-858-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 S LEWIS AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856101",
            "telephone_number": "847-782-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "JENNIFER",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, IL

Sources for this page

Verify at the official NPI Registry.