Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083326854 Individual Practitioner Female Practitioner

Jessica Smith

Counselor - Professional • Minooka, IL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jessica Smith is a registered healthcare professional specializing in Counselor - Professional in Minooka, IL. Official NPI practice address is registered at EVOLVE THERAPEUTIC SERVICES CENTER.

Practice Location & Contact Primary Location

Practice Address

Evolve Therapeutic Services Center
304 W. Mondamin St. #104

Minooka, IL 60447

Telephone 8152747308

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Minooka, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Minooka, 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: 2022-11-29
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbc
1003

Practice Associates & Co-Workers

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

6 Associated Practitioners
Jennifer Ceko

Social Worker

NPI 1114669256
NPI 1326994344

Licensed Social Worker, Certified Alcohol and Drug Counselor

Monica Jasper , LPC

Counselor - Professional

NPI 1427779271

Licensed Professional Counselor

Ashley Morgan , LPC

Counselor - Professional

NPI 1790448421

Licensed Professional Counselor

NPI 1962116657

Master of Social Work

Rebecca Burr , MSW

Social Worker

NPI 1972158244

Master of Social Work

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 23, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location December 23, 2022

Registered at EVOLVE THERAPEUTIC SERVICES CENTER, 304 W. MONDAMIN ST. #104, MINOOKA, IL 60447 (Tel: 8152747308)

📍
Updated Business Mailing Address December 23, 2022

Registered at 219 GRANDE DR, MINOOKA, IL 604479554 (Tel: 8154092320)

👤
Provider Name / Credentials Updated December 23, 2022

Recorded as JESSICA SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2022

Counselor

🟢
Initial NPI Registration & Enumeration December 23, 2022

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: 1083326854
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 23, 2022
Last Update: December 23, 2022
Sole Proprietor: No

Mailing Address

219 Grande Dr

Minooka, IL 604479554

Phone: 8154092320

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.