Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336385103 Individual Practitioner Female Practitioner

Jennifer Lynn Black , LCPC, CCMHC, LBS1

Counselor - Professional • Evanston, IL

Professional Overview & Biography Verified Profile Summary

Jennifer Black, LCPC, CCMHC, LBS1 is a registered healthcare professional specializing in Counselor - Professional in Evanston, IL. Practice services are available at 1125 CLEVELAND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1125 Cleveland St

Evanston, IL 60202

Telephone 2248309800

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Evanston, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.1 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
198 Specialists

Practicing in Evanston, IL (9683 Statewide)

Telehealth Adoption Rate
1.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180011432

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Specialist

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Health Educator

NUCC Taxonomy Code: 174H00000X

Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.

Secondary Practice Locations

450 W Schaumburg Rd, Suite 68803

Schaumburg, IL 601943365

Phone: 3312009701

2550 Crawford Ave

Evanston, IL 602014900

Phone: 2248309800

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 23, 2018

Registered at 1125 CLEVELAND ST, EVANSTON, IL 60202 (Tel: 2248309800)

📍
Updated Business Mailing Address May 23, 2018

Registered at 1125 CLEVELAND ST, EVANSTON, IL 602022114 (Tel: 2248309800)

👤
Provider Name / Credentials Updated May 23, 2018

Recorded as JENNIFER BLACK, LCPC, CCMHC, LBS1

NPI Profile Active February 12, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 12, 2015

Registered at 450 W SCHAUMBURG RD, SUITE 68803, SCHAUMBURG, IL 601943365 (Tel: 3312009701)

📍
Updated Business Mailing Address February 12, 2015

Registered at PO BOX 68803, SCHAUMBURG, IL 601680803 (Tel: 3312009701)

👤
Provider Name / Credentials Updated February 12, 2015

Recorded as JENNIFER ROSENFELD, MSED, LPC, NCC, LBS1

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2015

Counselor

🟢
Initial NPI Registration & Enumeration December 30, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336385103
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 30, 2008
Last Update: May 23, 2018
Sole Proprietor: Yes

Mailing Address

1125 Cleveland St

Evanston, IL 602022114

Phone: 2248309800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.