JEFFERY LANGE LCPC
NPI 1194876045
Counselor - Mental Health in Geneva, IL

Q: What is Jeffery Lange's NPI number?

The NPI number for Jeffery Lange is 1194876045. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Q: What is Jeffery Lange's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jeffery Lange was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 16, 2007PECOS Enrolled

28 N 1ST ST STE 201, GENEVA, IL 60134(866) 586-6049 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jeffery Lange Lcpc NPPES

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

JEFFERY LANGE LCPC (NPI 1194876045) is an individual mental health provider in Geneva, Illinois, licensed in Illinois (180.017813) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in South Elgin, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194876045

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJEFFERY LANGECredential: LCPC

Location Address28 N 1ST ST STE 201Geneva, IL 60134-2285

Mailing Address760 Carol AveElgin, IL 60123-2618

Phone(866) 586-6049

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 16, 2007

Last NPPES UpdateDecember 22, 2025

NPPES CertifiedDecember 22, 2025

✔ NPI 1194876045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IL · 180.017813

28 N 1ST ST STE 201, Geneva, IL 60134

Open in Google Maps ↗

Secondary Practice Location 1

Location 1460 Briargate Dr Ste 700South Elgin, IL 60177-2284 · Phone (847) 488-1999

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffery Lange Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658854211

PECOS Enrollment IDI20260311003280

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.

Other Providers at the Same Location NPPES 6

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

ANN SUSAN WILBEE LCSW

Social Worker (Clinical)