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Jenna Lynn Bumber , LCPC

Counselor - Professional β€’ Chicago, IL

Active NPI 1104486604 Individual Practitioner Female Practitioner
Practice location in NPPES

4055 W Peterson Ave Ste 202
Chicago, IL 60646

Call 7737744444 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4055 W Peterson Ave Ste 202

Chicago, IL 60646

Telephone 7737744444
Organization at the Same NPPES Address or Phone
Urban Wellness, Ltd. Facility NPI 1942565353

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chicago and Illinois

2,406 active clinicians are listed under Counselor - Professional with a practice address in Chicago, IL (9,512 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

1.7% of these 2,406 clinicians have the CMS telehealth indicator.

5.5% of these 2,406 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-12-15
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 180014637
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location December 15, 2022

Registered at 4055 W PETERSON AVE STE 202, CHICAGO, IL 60646 (Tel: 7737744444)

πŸ“
Updated Business Mailing Address December 15, 2022

Registered at 5010 W PENSACOLA AVE BSMT UNIT, CHICAGO, IL 606411547 (Tel: 7737744444)

πŸ‘€
Provider Name / Credentials Updated December 15, 2022

Recorded as JENNA BUMBER, LCPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2022

Counselor (license number reported to NPPES: IL 180014637)

βœ…
NPI Profile Active June 17, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 17, 2019

Registered at 70 S RIVER ST, AURORA, IL 605065185 (Tel: 6308442662)

πŸ“
Business Mailing Address (Initial Record) June 17, 2019

Registered at 70 S RIVER ST, AURORA, IL 605065185 (Tel: 6308442662)

πŸ‘€
Provider Name / Credentials (Initial Record) June 17, 2019

Recorded as JENNA BUMBER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2019

Counselor

🟒
Initial NPI Registration & Enumeration June 17, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104486604
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2019
Last Update: December 15, 2022
Sole Proprietor: Yes

Other Counselor - Professionals in Chicago

All Counselor - Professionals in Chicago

Mailing Address

5010 W Pensacola Ave Bsmt Unit

Chicago, IL 606411547

Phone: 7737744444

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.