Individual provider Active NPI

Jordan Krones

  • Mental Health Counselor
  • East Peoria, IL
National Provider Identifier
1972392561
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
111 W Washington St Ste 230
East Peoria, IL 61611-2560
Phone
(309) 694-6462
NPI assigned
May 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

111 W Washington St Ste 230
East Peoria, IL 61611-2560

Mailing address

1230 Allison LN
Schaumburg, IL 60194-2720
Phone (630) 212-7345

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
I20260121000031 IL Practitioner - Mental Health Counselor 6406333517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

110 N Brockway St
Suite 300
Palatine, IL 60067-5020

1345 Mendota Heights Rd
Mendota Heights, MN 55120-1129

1345 Mendota Heights Rd
Mendota Heights, MN 55120-2006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Support PLLC Mental Health CurrentSince Dec 13, 2025 Accepting new patients

Locations

110 N Brockway St
Ste 300
Palatine, IL 60067
Phone (847) 485-1640

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": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1972392561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 ALLISON LN",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601942720",
            "telephone_number": "630-212-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W WASHINGTON ST STE 230",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616112560",
            "telephone_number": "309-694-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONES",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Peoria, IL

Sources for this page

Verify at the official NPI Registry.