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Jillian Jacoby , MA LCPC

Counselor - Professional β€’ Deerfield, IL

Active NPI 1841720083 Individual Practitioner Female Practitioner
Practice location in NPPES

411 Kelburn Rd
Deerfield, IL 600154380

Call 8476686250 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

411 Kelburn Rd

Deerfield, IL 600154380

Telephone 8476686250
Organization at the Same NPPES Address or Phone
Forward Intentions Therapy Llc Facility NPI 1730791492

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

NPI first issued

2017

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 Deerfield and Illinois

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Deerfield

6.7% of these 30 clinicians have the CMS telehealth indicator.

10% of these 30 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: 2023-03-29
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 178013016
Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

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 March 29, 2023

Registered at 411 KELBURN RD, DEERFIELD, IL 600154380 (Tel: 8476686250)

πŸ“
Updated Business Mailing Address March 29, 2023

Registered at 411 KELBURN RD APT 223, DEERFIELD, IL 600154364 (Tel: 8476686250)

πŸ‘€
Provider Name / Credentials Updated March 29, 2023

Recorded as JILLIAN JACOBY, M.A. LCPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2023

Counselor

βœ…
NPI Profile Active June 19, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 19, 2017

Registered at 53 W JACKSON BLVD STE 1301, CHICAGO, IL 606043552 (Tel: 8476686250)

πŸ“
Business Mailing Address (Initial Record) June 19, 2017

Registered at 2654 W SCHUBERT AVE APT 1E, CHICAGO, IL 606471875 (Tel: 8476686250)

πŸ‘€
Provider Name / Credentials (Initial Record) June 19, 2017

Recorded as JILLIAN POTESHMAN, M.A. LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2017

Counselor (license number reported to NPPES: IL 178013016)

🟒
Initial NPI Registration & Enumeration June 19, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1841720083
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2017
Last Update: March 29, 2023
Sole Proprietor: Yes

Mailing Address

411 Kelburn Rd Apt 223

Deerfield, IL 600154364

Phone: 8476686250

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.