1. Home
  2. Directory
  3. Illinois
  4. Crystal Lake
  5. Counselor
  6. NPI Profile

JESSICA MATA
NPI 1053126094
Counselor in Crystal Lake, IL

Active since February 07, 2025
800 S MCHENRY AVE STE F, CRYSTAL LAKE, IL 60014(815) 526-3750(815) 526-3440 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Mata NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA MATA (NPI 1053126094) is an individual counselor in Crystal Lake, Illinois, licensed in Illinois (178.021255) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1053126094
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJESSICA MATA
Location Address800 S MCHENRY AVE STE FCrystal Lake, IL 60014-7487
Mailing Address800 Mchenry Ave., Suite FCrystal Lake, IL 60014 · (815) 526-3750
Phone(815) 526-3750
Fax(815) 526-3440
Sole ProprietorNo
Enumeration DateFebruary 7, 2025
NPPES CertifiedFebruary 6, 2025
✔ NPI 1053126094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IL · 178.021255
Definition
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.
800 S MCHENRY AVE STE F, Crystal Lake, IL 60014
Open in Google Maps ↗

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE LUCACCIONI
Counselor
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
McHenry County (815) 526-3750
SHEILA TANNER TANNER EGAN LCSW
Social Worker (Clinical)
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
McHenry County (815) 342-9786
MALLORY SUZANNE PAVLIK LPC
Counselor (Mental Health)
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
McHenry County (815) 526-3750
MARIA BIDELMAN
Social Worker (Clinical)
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
McHenry County (815) 526-3750
BECKY MCGARRY
Counselor (Professional)
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
McHenry County (815) 985-8603
STEVEN J KNOPE
Counselor (Mental Health)
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
McHenry County (815) 526-3750
MRS. SARA RENEE BRUGIONI LCSW
Social Worker (Clinical)
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
McHenry County (815) 546-7268
ALICIA ANA MENDOZA
Counselor (Mental Health)
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL 60014
McHenry County (815) 526-3750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Mata's NPI number?

The NPI number for Jessica Mata is 1053126094. It was assigned to this individual provider in the NPPES registry on February 7, 2025.

Where is Jessica Mata located?

Jessica Mata practices at 800 S Mchenry Ave Ste F, Crystal Lake, IL 60014. The listed phone number is (815) 526-3750.

What is Jessica Mata's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jessica Mata was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.