MS. JENNIFER MARIE TAYLOR (MA, LCPC, SEP) – Professional Counselor, NPI 1194870139

MS. JENNIFER MARIE TAYLOR (MA, LCPC, SEP) is a healthcare provider. based in Yorkville, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, LCPC, SEP. They hold a License No. 180-003362 (IL). The NPI Number for MS. JENNIFER MARIE TAYLOR (MA, LCPC, SEP) is 1194870139

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
MS. JENNIFER MARIE TAYLOR (MA, LCPC, SEP)
NPI
1194870139
Phone
(630) 417-9679
Address
1411 S BRIDGE ST
Enumeration Date
23 January 2007
Last Update Date
4 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6304235935
Graduation Year
1996 (30 years ago)
PAC ID
2769821172
Group Practice PAC ID
2860791449
Professional Enrollment ID
I20240418001406
Address ID
IL601375851GL800XXRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for MS. JENNIFER MARIE TAYLOR (MA, LCPC, SEP)

  • 1411, South Bridge Street, Yorkville, Kendall Township, Kendall County, Illinois, 60560, United States

    YORKVILLE, IL 605609055

    Phone: (630) 417-9679

    Fax: (630) 553-8416

    Type: Location

  • 6111, Polo Club Drive, Yorkville, Fox Township, Kendall County, Illinois, 60560, United States

    YORKVILLE, IL 605609294

    Phone: (630) 553-5662

    Fax: (630) 553-8416

    Type: Mailing

  • 6650 N ANDREWS AVE

    FORT LAUDERDALE, FL 333092134

    Phone: (630) 417-9679

    Fax: (630) 553-8416

    Type: Mailing

  • 800 ROOSEVELT RD STE BLDGB

    GLEN ELLYN, IL 601375839

    Phone: (630) 866-3600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240418001406IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60560)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860791449View full group profile
NameSpecialtyState
Clinical PsychologistIL
Clinical Social WorkerIL
Clinical Social WorkerIL
-IL
Clinical Social WorkerIL
-IL
Clinical Social WorkerIL
Clinical Social WorkerIL
Mental Health CounselorIL
Mental Health CounselorIA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. JENNIFER MARIE TAYLOR (MA, LCPC, SEP)?
MS. JENNIFER MARIE TAYLOR (MA, LCPC, SEP) — NPI 1194870139 — is the standard way to identify this listing.
Does CMS list MS. JENNIFER MARIE TAYLOR (MA, LCPC, SEP) as active?
Yes — MS. JENNIFER MARIE TAYLOR (MA, LCPC, SEP) is active in the NPI listing used on this page.
What healthcare role does MS. JENNIFER MARIE TAYLOR (MA, LCPC, SEP) hold?
Scheduling teams often label MS. JENNIFER MARIE TAYLOR (MA, LCPC, SEP) under Professional Counselor. Clinical services aligned with this taxonomy classification.
What area does MS. JENNIFER MARIE TAYLOR (MA, LCPC, SEP) serve?
MS. JENNIFER MARIE TAYLOR (MA, LCPC, SEP)'s listing highlights Yorkville, Illinois; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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