JEAN MCGURK O'BRIEN M.A., LCPC, NCC
NPI 1093993925
Counselor - Professional in Maryville, IL

Active since February 01, 2008PECOS Enrolled
3 OAK DR STE B, MARYVILLE, IL 62062(618) 514-1386(309) 323-0475 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jean Mcgurk O'brien M.a., Lcpc, Ncc NPPES

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

JEAN MCGURK O'BRIEN M.A., LCPC, NCC (NPI 1093993925) is an individual professional provider in Maryville, Illinois, licensed in Illinois (180.009439) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1093993925
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJEAN MCGURK O'BRIENCredential: M.A., LCPC, NCC
Location Address3 OAK DR STE BMaryville, IL 62062-5635
Mailing Address3 Oak Dr Ste BMaryville, IL 62062-5635 · (618) 514-1386 · Fax (309) 323-0475
Fax(309) 323-0475
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateFebruary 1, 2008
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1093993925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.009439
3 OAK DR STE B, Maryville, IL 62062

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jean Mcgurk O'brien M.a., Lcpc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002254547
PECOS Enrollment IDI20240403002986
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.

Medicare Billing Reassignment

Medicare enrollment records show Jean O'brien reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
9 JUNCTION DR W STE 2
Glen Carbon, IL 62034
  • Reassigned Medicare billing, Illinois enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Social Worker (Clinical)
3 OAK DR STE B
MARYVILLE, IL 62062
Psychologist
3 OAK DR STE B
MARYVILLE, IL 62062
Marriage & Family Therapist
3 OAK DR STE B
MARYVILLE, IL 62062
Counselor (Mental Health)
3 OAK DR STE B
MARYVILLE, IL 62062
Counselor (Professional)
3 OAK DR STE B
MARYVILLE, IL 62062
Social Worker (Clinical)
3 OAK DR STE B
MARYVILLE, IL 62062
Counselor (Professional)
3 OAK DR STE B
MARYVILLE, IL 62062
Counselor (Professional)
3 OAK DR STE B
MARYVILLE, IL 62062

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 Jean O'brien's NPI number?

The NPI number for Jean O'brien is 1093993925. It was assigned to this individual provider in the NPPES registry on February 1, 2008.

Where is Jean O'brien located?

Jean O'brien practices at 3 Oak Dr Ste B, Maryville, IL 62062. The listed phone number is (618) 514-1386.

What is Jean O'brien's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jean O'brien enrolled in Medicare?

Yes. Jean O'brien is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jean O'brien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jean O'brien reassigns Medicare benefits to New Leaf Counseling Services, LLC (Glen Carbon, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jean O'brien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jean O'brien accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Health and UnitedHealthcare list Jean O'brien as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jean O'brien was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.