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Jo Ellen Wright , LCPC

Counselor β€’ Park Ridge, IL

Active NPI 1447903729 Individual Practitioner Female Practitioner
Practice location in NPPES

1400 Renaissance Dr Ste 405
Park Ridge, IL 600681329

Call 8476684295 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

1400 Renaissance Dr Ste 405

Park Ridge, IL 600681329

Telephone 8476684295
Organization at the Same NPPES Address or Phone
North Shore Family Services, Llc Facility NPI 1427678408

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

NPI first issued

2022

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 Park Ridge and Illinois

15 active clinicians are listed under Counselor with a practice address in Park Ridge, IL (3,805 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Park Ridge

0% of these 15 clinicians have the CMS telehealth indicator.

6.7% of these 15 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: 2023-12-16
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES IL 180014442

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES IL 178015631

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.

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

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated December 16, 2023

Recorded as JO ELLEN WRIGHT, LCPC

βœ…
NPI Profile Active January 27, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 27, 2022

Registered at 1400 RENAISSANCE DR STE 405, PARK RIDGE, IL 600681329 (Tel: 8476684295)

πŸ“
Business Mailing Address (Initial Record) January 27, 2022

Registered at 900 SKOKIE BLVD STE 218, NORTHBROOK, IL 600624043

πŸ‘€
Provider Name / Credentials (Initial Record) January 27, 2022

Recorded as JO ELLEN JACOB

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2022

Counselor (license number reported to NPPES: IL 178015631)

🟒
Initial NPI Registration & Enumeration January 27, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1447903729
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2022
Last Update: December 16, 2023
Sole Proprietor: No

Mailing Address

900 Skokie Blvd Ste 218

Northbrook, IL 600624043

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.