WATERFALL COUNSELING LLC
NPI 1174867048
Social Worker - Clinical in Lemont, IL

Active since November 16, 2012
119 STEPHEN ST, LEMONT, IL 60439(630) 257-5757(630) 257-7055 Get Directions Write a Review

NPPES record last updated: November 16, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Waterfall Counseling Llc NPPES

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

WATERFALL COUNSELING LLC (NPI 1174867048) is a healthcare organization registered as a clinical in Lemont, Illinois and active in the NPI registry since November 2012. The organization lists Susan M Jacobowski, Clinical Social Worker/manager, as its authorized official.

NPPES Registry Identity

NPI1174867048
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWATERFALL COUNSELING LLC
Location Address119 STEPHEN STLemont, IL 60439-3660
Mailing Address119 Stephen StLemont, IL 60439-3660 · (630) 257-5757 · Fax (630) 257-7055
Fax(630) 257-7055
Organization SubpartNo
Authorized OfficialSusan M JacobowskiClinical Social Worker/manager · (630) 257-5757
Enumeration DateNovember 16, 2012
✔ NPI 1174867048 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 · 149010821
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.
119 STEPHEN ST, Lemont, IL 60439

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Waterfall Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Waterfall Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1811186307
119 STEPHEN ST
Lemont, IL 60439
(630) 569-0436
✔ PECOS✔ Accepts MedicareSame address

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

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 Waterfall Counseling LLC's NPI number?

The NPI number for Waterfall Counseling LLC is 1174867048. It was assigned to this organization in the NPPES registry on November 16, 2012.

Where is Waterfall Counseling LLC located?

Waterfall Counseling LLC is located at 119 Stephen St, Lemont, IL 60439. The listed phone number is (630) 257-5757.

What is Waterfall Counseling LLC's specialty?

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

Is Waterfall Counseling LLC enrolled in Medicare?

Yes. Waterfall Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Waterfall Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Waterfall Counseling LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Waterfall Counseling LLC was last updated on November 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.