JESSICA MATA
NPI 1053126094
Counselor in Crystal Lake, IL

NPI Status: Active since February 07, 2025

Contact Information

800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 526-3750
Fax: (815) 526-3440

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  • Individual
  • Female
  • Counselor

About JESSICA MATA

This page provides the complete NPI Profile along with additional information for Jessica Mata, a provider established in Crystal Lake, Illinois with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1053126094 assigned on February 2025. The practitioner's primary taxonomy code is 101Y00000X with license number 178.021255 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1053126094
Provider Name
JESSICA MATA
Gender
Female
Entity Type
Individual
Location Address
800 S MCHENRY AVE STE F CRYSTAL LAKE, IL 60014
Location Phone
(815) 526-3750
Location Fax
(815) 526-3440
Mailing Address
800 MCHENRY AVE. SUITE F CRYSTAL LAKE, IL 60014
Mailing Phone
(815) 526-3750
Is Sole Proprietor?
No
Enumeration Date
02-07-2025
Last Update Date
02-07-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
License No.
178.021255
License State
IL
Taxonomy Description
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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053126094, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 1 → 2 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 2 + 2 + 1 + 2 + 0 + 1 + 8 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1053126094.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Counselor (Professional)
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
Counselor (Professional)
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
Social Worker (Clinical)
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
Social Worker (Clinical)
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
Social Worker (Clinical)
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
Counselor (Mental Health)
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
Counselor
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
Psychologist (Clinical)
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
Social Worker (Clinical)
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
Counselor (Professional)
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
Social Worker (Clinical)
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
Counselor (Professional)
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
Counselor (Mental Health)
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
Counselor (Mental Health)
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
Counselor
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
Counselor (Mental Health)
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053126094, enumerated as an "individual" on February 07, 2025.

The provider is located at 800 S MCHENRY AVE STE F CRYSTAL LAKE, IL 60014 and the phone number is (815) 526-3750.

Counselor with taxonomy code 101Y00000X.