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JACOB P REGISTER LCSW
NPI 1174279244
Social Worker - Clinical in Bloomington, IL

Active since February 26, 2022PECOS EnrolledAccepts Medicare Assignment
808 S ELDORADO RD STE 102, BLOOMINGTON, IL 61704(309) 706-3190 Get Directions Write a Review

NPPES record last updated: February 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob P Register Lcsw NPPES

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

JACOB P REGISTER LCSW (NPI 1174279244) is an individual clinical provider in Bloomington, Illinois, licensed in Illinois (149023795) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1174279244
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACOB P REGISTERCredential: LCSW
Location Address808 S ELDORADO RD STE 102Bloomington, IL 61704-6075
Mailing Address1603 N Linden StNormal, IL 61761-1474
Phone(309) 706-3190
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 26, 2022
NPPES CertifiedFebruary 26, 2022
✔ NPI 1174279244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149023795
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
808 S ELDORADO RD STE 102, Bloomington, IL 61704
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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

Jacob P Register Lcsw 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 ID5496118770
PECOS Enrollment IDI20230905001254
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 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
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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 14

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

VICTORIA FETTER
Counselor (Mental Health)
808 S ELDORADO RD STE 102
BLOOMINGTON, IL 61704
McLean County (888) 428-7890
PSYCHOLOGY SPECIALISTS LTD
Psychologist (Clinical)
808 S ELDORADO RD STE 102
BLOOMINGTON, IL 61704
McLean County (888) 428-7890
ATHENA DACANAY PSYD
Psychologist (Clinical)
808 S ELDORADO RD STE 102
BLOOMINGTON, IL 61704
McLean County (309) 706-3190
ALEX BACA LPC
Counselor (Mental Health)
808 S ELDORADO RD STE 102
BLOOMINGTON, IL 61704
McLean County (888) 428-7890
MRS. JACLYN A. ORTON LCSW
Social Worker (Clinical)
808 S ELDORADO RD STE 102
BLOOMINGTON, IL 61704
McLean County (309) 706-3190
SEHAR RESHAMWALA MALINOWSKI LCPC
Counselor (Mental Health)
808 S ELDORADO RD STE 102
BLOOMINGTON, IL 61704
McLean County (888) 428-7890
SOPHIA ANNE-MARIE GAWRON LCSW
Social Worker (Clinical)
808 S ELDORADO RD STE 102
BLOOMINGTON, IL 61704
McLean County (888) 428-7890
MRS. VANESSA IRIS GRANGER-BELCHER LCPC
Counselor (Mental Health)
808 S ELDORADO RD STE 102
BLOOMINGTON, IL 61704
McLean County (309) 706-3190

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 Jacob Register's NPI number?

The NPI number for Jacob Register is 1174279244. It was assigned to this individual provider in the NPPES registry on February 26, 2022.

Where is Jacob Register located?

Jacob Register practices at 808 S Eldorado Rd Ste 102, Bloomington, IL 61704. The listed phone number is (309) 706-3190.

What is Jacob Register's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jacob Register enrolled in Medicare?

Yes. Jacob Register is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacob Register was last updated on February 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.