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Dr. Jacquelyn Eileen Augustine , PsyD

Counselor β€’ Naperville, IL

Active NPI 1619286986 Individual Practitioner Female Practitioner
Practice location in NPPES

1415 Bond St Ste 127
Naperville, IL 605632769

Call 6303559002 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

1415 Bond St Ste 127

Naperville, IL 605632769

Telephone 6303559002
Organization at the Same NPPES Address or Phone
New Day Treatment Program Pc Facility NPI 1326308545

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

NPI first issued

2010

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

Can order Medicare-covered services

CMS lists Dr. Augustine as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Naperville and Illinois

50 active clinicians are listed under Counselor with a practice address in Naperville, IL (3,805 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Naperville

0% of these 50 clinicians have the CMS telehealth indicator.

4% of these 50 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: 2022-01-17
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

License # reported to NPPES IL 071008317

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

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

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location January 17, 2022

Registered at 1415 BOND ST STE 127, NAPERVILLE, IL 605632769 (Tel: 6303559002)

πŸ“
Updated Business Mailing Address January 17, 2022

Registered at 1415 BOND ST, NAPERVILLE, IL 605632388 (Tel: 6303559002)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2022

Psychologist (license number reported to NPPES: IL 071008317)

βœ…
NPI Profile Active October 04, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 04, 2010

Registered at 15010 S RAVINIA AVE, SUITE 19, ORLAND PARK, IL 604623162 (Tel: 7084033200)

πŸ“
Business Mailing Address (Initial Record) October 04, 2010

Registered at 918 N 16TH AVE, MELROSE PARK, IL 601603831 (Tel: 7082142448)

πŸ‘€
Provider Name / Credentials (Initial Record) October 04, 2010

Recorded as JACQUELYN AUGUSTINE, PSY.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2010

Counselor

🟒
Initial NPI Registration & Enumeration October 04, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619286986
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2010
Last Update: January 17, 2022
Sole Proprietor: Yes

Other Counselors in Naperville

Healthcare providers in Naperville

Mailing Address

1415 Bond St

Naperville, IL 605632388

Phone: 6303559002

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.