JENNIFER REYES – Clinical Social Worker, NPI 1982330163

JENNIFER REYES is a healthcare provider. based in Rockford, Illinois. specializing in CLINICAL SOCIAL WORKER. The NPI Number for JENNIFER REYES is 1982330163

Main info

Female
Sole Proprietor
5 Years Of Experience
Name
JENNIFER REYES
NPI
1982330163
Phone
(815) 988-9506
Address
107 HUNTER AVE
Enumeration Date
28 July 2022
Last Update Date
28 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7792103453
Graduation Year
2021 (5 years ago)
PAC ID
5395113724
Group Practice PAC ID
8325415102
Professional Enrollment ID
I20221116001210
Address ID
IL611082467RO5906XDRXX301

Contacts

Other Endpoint
Willowcreekcounseling.jenniferr@gmail.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness95
Years active:3State licenses:0Other names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for JENNIFER REYES

  • 107 HUNTER AVE

    ROCKFORD, IL 611081627

    Phone: (815) 988-9506

    Type: Mailing

  • 5906 ELAINE DR

    ROCKFORD, IL 611082467

    Phone: (815) 988-9506

    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: 2022-11-16

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
I20221116001210IClinical Social WorkerILTBD

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 61108)

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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: 8325415102View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for JENNIFER REYES?
JENNIFER REYES — NPI 1982330163 — is the standard way to identify this listing.
Does the file indicate JENNIFER REYES is practicing under active NPI?
Directory data currently reports JENNIFER REYES as active.
What is JENNIFER REYES best known for clinically?
Directory data describes JENNIFER REYES with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is JENNIFER REYES based?
JENNIFER REYES is tied to Rockford, Illinois in the data we show; additional addresses may exist on the full record.
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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