JILLIAN KING – Professional Counselor, NPI 1619408572

JILLIAN KING is a healthcare provider. based in Naperville, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 180.010807 (IL). The NPI Number for JILLIAN KING is 1619408572

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
JILLIAN KING
NPI
1619408572
Phone
(630) 849-7121
Address
204 WOOD CREEK CT
Enumeration Date
22 March 2017
Last Update Date
22 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6305771577
Graduation Year
2013 (13 years ago)
PAC ID
1254867047
Group Practice PAC ID
4082623665
Professional Enrollment ID
I20241203003325
Address ID
IL605632389NA800XXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for JILLIAN KING

  • 204, Wood Creek Court, Winding Creek, Naperville, DuPage County, Illinois, 60565, United States

    NAPERVILLE, IL 605654149

    Phone: (630) 849-7121

    Mailing address matches the actual address.

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: 2024-12-03

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
I20241203003325IMental 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 60565)

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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: 4082623665View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What is JILLIAN KING's NPI number?
JILLIAN KING's NPI is 1619408572 — the number used across U.S. healthcare to identify this provider.
Would JILLIAN KING appear as active to a payer?
You can treat JILLIAN KING as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JILLIAN KING?
At a glance, JILLIAN KING is tied to Professional Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with JILLIAN KING?
Directory geography for JILLIAN KING centers on Naperville, Illinois.
Can I trust this NPI listing for JILLIAN KING?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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