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Andrew Scott Jack , MA

Counselor - Professional β€’ Wheaton, IL

Active NPI 1265864797 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

7 Blanchard Cir Ste 201
Wheaton, IL 601892039

Call 6306532300 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

7 Blanchard Cir Ste 201

Wheaton, IL 601892039

Telephone 6306532300
Fax 6306532895
Organization at the Same NPPES Address or Phone
Alliance Clinical Associates Sc Facility NPI 1144299769

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Wheaton, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Alliance Clinical Associates Sc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2014

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2013

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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

Enrolled in Medicare (PECOS)

Andrew Jack has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

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

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Andrew Jack 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 Wheaton and Illinois

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

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

Telehealth indicator in Wheaton

3.8% of these 186 clinicians have the CMS telehealth indicator.

11.3% of these 186 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: 2026-02-20
Counselor - Professional Primary Specialty

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

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20260218002135

Enrollment State Jurisdiction

IL

PECOS Control ID

2769962687

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.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Alliance Clinical Associates Sc

7 Blanchard Cir, Wheaton, IL 601892039

Phone: 6306532300

Secondary Practice Locations

107 N Hale St

Wheaton, IL 601875117

Phone: 6307790974

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Dr. Breanne Briskey , MD

Psychiatry & Neurology - Psychiatry

NPI 1962668582

Doctor of Medicine (M.D.)

Dr. Steve Lee , MD

Psychiatry & Neurology - Psychiatry

NPI 1619099488

Doctor of Medicine (M.D.)

Dr. Gregory Lewis , PsyD

Psychologist - Clinical

NPI 1063471027

Doctor of Psychology (Psy.D.)

Dr. Robert Marseilles , MD, JD

Psychiatry & Neurology - Psychiatry

NPI 1053568766

Doctor of Medicine (M.D.), JD

Dr. Elliott Pae , MD

Psychiatry & Neurology - Psychiatry

NPI 1497724710

Doctor of Medicine (M.D.)

Dr. Kenneth Phillips , MD

Psychiatry & Neurology - Psychiatry

NPI 1538138748

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
βœ…
NPI Profile Active January 16, 2018

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location January 16, 2018

Registered at 7 BLANCHARD CIR STE 201, WHEATON, IL 601892039 (Tel: 6306532300)

πŸ“
Updated Business Mailing Address January 16, 2018

Registered at 1N002 BARRY AVE, WHEATON, IL 601872920 (Tel: 6307790974)

πŸ‘€
Provider Name / Credentials Updated January 16, 2018

Recorded as ANDREW JACK, M.A.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2018

Counselor

βœ…
NPI Profile Active August 07, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 07, 2013

Registered at 1N002 BARRY AVE, WHEATON, IL 601872920 (Tel: 6307790974)

πŸ“
Business Mailing Address (Initial Record) August 07, 2013

Registered at 1N002 BARRY AVE, WHEATON, IL 601872920 (Tel: 6307790974)

πŸ‘€
Provider Name / Credentials (Initial Record) August 07, 2013

Recorded as ANDREW JACK, M.A.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2013

Counselor

🟒
Initial NPI Registration & Enumeration August 07, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1265864797
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2013
Last Update: February 20, 2026
Sole Proprietor: Yes

Mailing Address

1n002 Barry Ave

Wheaton, IL 601872920

Phone: 6307790974

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.