Jill Suzanne Kreller, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180009267 Issued in IL

Practice address

225 E Deerpath
Suite 280
Lake Forest, IL 60045-1952

Phone

(425) 999-5170

NPI assigned

Aug 20, 2009

Last updated

Aug 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

360 Degrees Wellness and Coaching LLCGroup PAC ID 8426288978, 8 clinicians

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.

• 360 Degrees Wellness & Coaching LLC

  • Clinical Social Worker
  • Lake Forest, IL
  • NPI 1497176523
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408147200000",
    "number": "1982836177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E DEERPATH",
            "address_2": "SUITE 280",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451952",
            "telephone_number": "425-999-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E DEERPATH",
            "address_2": "SUITE 280",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451952",
            "telephone_number": "425-999-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRELLER",
        "first_name": "JILL",
        "middle_name": "SUZANNE",
        "name_prefix": "Miss",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2014-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178008176",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180009267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kozak Orthodontics PC (North Shore Orthodontics)
• Kathryn Michelle Kramer, MA.
• Mechelle Krause, APRN, AG-CNS
• Nicole Krein, M.D.
• Melissa A Kreiter, RN, APRN
• Allen I Krissberg, M.D.
• Paul J Krivickas, MD
• Ellen V. Kroin
• Jessica Krupka, CNS, LDN
• Jennifer Krusinski, LSW

• Professional Counselor in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2014; 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.