Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1407259856 Deactivated / Inactive NPI Female Practitioner

Jaclyn Rovner , CRC, LCPC

Counselor - Professional • Gurnee, IL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jaclyn Rovner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 30, 2014
NPI Deactivation Date September 15, 2015
Total Practice Duration ~1 Years of Practice (2014 – 2015)

Professional Overview & Biography Verified Profile Summary

Jaclyn Rovner, CRC, LCPC was a registered Counselor - Professional practicing in Gurnee, IL. Throughout an active medical career spanning 1 years, Jaclyn Rovner provided care at the practice location at 5101 WASHINGTON ST STE 1102 until profile deactivation on 2015-09-15.

Practice Location & Contact Primary Location

Practice Address

5101 Washington St Ste 1102

Gurnee, IL 600312988

Telephone 8479751009
Associated Practice Facility / Clinic
🏢 Soul View Facility NPI 1356233761

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Gurnee, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
41 Specialists

Practicing in Gurnee, IL (9683 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2024-11-14
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180.016538

Definition to come...

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Secondary Practice Locations

625 Slawin Court

Mt Prospect, IL 60056

Phone: 8477897155

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Randa Anderson , PhD

Psychologist - Clinical

NPI 1568563203

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location November 14, 2024

Registered at 5101 WASHINGTON ST STE 1102, GURNEE, IL 600312988 (Tel: 8479751009)

👤
Provider Name / Credentials Updated November 14, 2024

Recorded as JACLYN ROVNER, CRC, LCPC

👤
Provider Name / Credentials Updated January 09, 2023

Recorded as JACLYN ROVNER, CRC, LPC

🔄
NPI Profile Reactivated August 18, 2017

Record officially reactivated for active practice on August 18, 2017

📍
Updated Practice Location August 18, 2017

Registered at 625 SLAWIN COURT, MT PROSPECT, IL 60056 (Tel: 8477897155)

📍
Updated Business Mailing Address August 18, 2017

Registered at 625 SLAWIN COURT, MT PROSPECT, IL 60056 (Tel: (847) 789-7155)

👤
Provider Name / Credentials Updated August 18, 2017

Recorded as JACLYN ROVNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2017

Behavior Analyst

⚠️
NPI Profile Deactivated September 15, 2015

Record deactivated on September 15, 2015

🟢
Initial NPI Registration & Enumeration September 30, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jaclyn Rovner. Be the first to share your experience!

Sign in to leave a review for Jaclyn Rovner

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1407259856
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2014
Last Update: November 14, 2024
Deactivation Date: September 15, 2015
Sole Proprietor: Yes

Mailing Address

625 Slawin Court

Mt Prospect, IL 60056

Phone: 8477897155

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.