JENN BALLETO (LCPC) – Counselor, NPI 1558783100

Counselor

JENN BALLETO (LCPC) is a healthcare provider. based in Woodstock, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 180.013312 (IL). The NPI Number for JENN BALLETO (LCPC) is 1558783100

Main info

Female

13 Years Of Experience

Accepts Medicare Assignment

Name

JENN BALLETO (LCPC)

NPI

1558783100

Phone

(815) 338-2910

Address

527 W SOUTH ST

Enumeration Date

16 January 2014

Last Update Date

19 June 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8153383590

Graduation Year

2013 (13 years ago)

PAC ID

6608316492

Group Practice PAC ID

2062315849

Professional Enrollment ID

I20240906003978

Address ID

IL600982626WO2028XAVEX400

Telehealth

Yes

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience53

Completeness85

Years active:12State licenses:1Digital endpointsOther names

2,308 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for JENN BALLETO (LCPC)

527 W SOUTH ST
WOODSTOCK, IL 600983756
Phone: (815) 338-2910
Type: Mailing
2028 N SEMINARY AVE
WOODSTOCK, IL 600982626
Phone: (815) 338-3590
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: 2024-09-06

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20240906003978	I	Mental Health Counselor	IL	TBD

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 60098)

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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: 2062315849View full group profile

Name	Specialty	State
VENKATA C JAMPALA (MD)	P S Y C H I A T R Y	IL
SHANNON PATRICIA HART	Clinical Social Worker	IL
LINDA STRUEBER (LCSW)	-	IL
DR. MICHAEL DEAN RAIDA (M.D.)	P S Y C H I A T R Y	IL
JACLYN KROEGER (LCSW)	-	IL
DENISE JANSSEN AYLESWORTH (PT)	-	IL