DR. JIE JIAO PH.D.
NPI 1053720284
Psychologist - Clinical in Peoria, IL

Q: What is Jie Jiao's NPI number?

The NPI number for Jie Jiao is 1053720284. It was assigned to this individual provider in the NPPES registry on August 13, 2014.

Q: What is Jie Jiao's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jie Jiao was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since August 13, 2014PECOS EnrolledAccepts Medicare Assignment

5901 N PROSPECT RD STE 202, PEORIA, IL 61614(888) 428-7890(877) 428-7890 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jie Jiao Ph.d. NPPES

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

DR. JIE JIAO PH.D. (NPI 1053720284) is an individual clinical provider in Peoria, Illinois, licensed in Illinois (071008880) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pekin, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1053720284

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JIE JIAOCredential: PH.D.

Location Address5901 N PROSPECT RD STE 202Peoria, IL 61614-4358

Mailing Address5901 N Prospect Rd Ste 202Peoria, IL 61614-4358 · (888) 428-7890 · Fax (877) 428-7891

Phone(888) 428-7890

Fax(877) 428-7890

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 13, 2014

Last NPPES UpdateJuly 27, 2023

NPPES CertifiedJuly 27, 2023

✔ NPI 1053720284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071008880

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

5901 N PROSPECT RD STE 202, Peoria, IL 61614

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Secondary Practice Location 1

Location 12205 State StPekin, IL 61554-3936 · Phone (888) 428-7890 · Fax (877) 428-7891

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jie Jiao Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032330329

PECOS Enrollment IDI20141030001566

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test, each additional 30 minutes 96137

This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.

33 services12 patients

Evaluation of psychological test, each additional hour 96131

This service involves additional hours spent on assessing psychological tests. It helps to understand your mental health better, identifying any potential issues or disorders. It's a crucial step in creating an effective treatment plan.

15 services11 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

13 services13 patients

Evaluation of psychological test, first hour 96130

This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.

12 services12 patients

Administration of psychological or neuropsychological test, first 30 minutes 96136

This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.44 typical visit price

range $54.80 – $168.44

Typical copayment $42.11 (range $13.70 – $42.11)

Most-billed visit code 99205

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

ALEXANDRA JOELLE PALMER

Counselor (Mental Health)