Individual provider Active NPI

Jill A Scheurer, L.C.P.C.

  • Professional Counselor
  • Park Ridge, IL
National Provider Identifier
1992831069
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1550 N Northwest Hwy
#103 C
Park Ridge, IL 60068-1411
Phone
(773) 844-3008
Fax
(847) 698-2595
NPI assigned
Feb 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

1550 N Northwest Hwy
#103 C
Park Ridge, IL 60068-1411

Mailing address

1318 Carol St
Apt a
Park Ridge, IL 60068-1275
Phone (773) 844-3008

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
I20260518001983 IL Practitioner - Mental Health Counselor 5698244341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4415 Harrison St
Suite 300
Hillside, IL 60162-1900

4415 Harrison St
Suite 300
Hillside, IL 60162-1953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180006089ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elemental Center LTD. Past Accepting new patients

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": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992831069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 CAROL ST",
            "address_2": "APT A",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681275",
            "telephone_number": "773-844-3008",
            "fax_number": "847-698-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N NORTHWEST HWY",
            "address_2": "#103 C",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681411",
            "telephone_number": "773-844-3008",
            "fax_number": "847-698-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEURER",
        "first_name": "JILL",
        "middle_name": "A",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.