JUBILEE HOUSE OUTREACH
NPI 1215359880
Marriage & Family Therapist in Greenville, IL

Active since January 15, 2014
417 W COLLEGE AVE, GREENVILLE, IL 62246(618) 664-2360 Get Directions Write a Review

NPPES record last updated: January 27, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jubilee House Outreach NPPES

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

JUBILEE HOUSE OUTREACH (NPI 1215359880) is a healthcare organization registered as a marriage & family therapist in Greenville, Illinois and active in the NPI registry since January 2014. The organization lists George R. Peters, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1215359880
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameJUBILEE HOUSE OUTREACH
Location Address417 W COLLEGE AVEGreenville, IL 62246-1020
Mailing Address417 W College AveGreenville, IL 62246-1020 · (618) 664-2360
Organization SubpartNo
Authorized OfficialGeorge R. PetersExecutive Director · (618) 664-2360
Enumeration DateJanuary 15, 2014
Last NPPES UpdateJanuary 27, 2014
✔ NPI 1215359880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · PastoralTaxonomy 101YP1600X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
417 W COLLEGE AVE, Greenville, IL 62246

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Jubilee House Outreach is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Jubilee House Outreach, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Clinical Social Worker
NPI 1912313321
417 W COLLEGE AVE
Greenville, IL 62246
(618) 664-2360
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1306056346
801 E COLLEGE AVE
Greenville, IL 62246
(618) 664-2800
✔ PECOS✔ Accepts Medicare0.6 mi
Clinical Social Worker
NPI 1851792782
1404 N 5TH ST
Vandalia, IL 62471
(618) 431-2275
✔ PECOS✔ Accepts Medicare18 mi

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 Jubilee House Outreach's NPI number?

The NPI number for Jubilee House Outreach is 1215359880. It was assigned to this organization in the NPPES registry on January 15, 2014.

Where is Jubilee House Outreach located?

Jubilee House Outreach is located at 417 W College Ave, Greenville, IL 62246. The listed phone number is (618) 664-2360.

What is Jubilee House Outreach's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jubilee House Outreach enrolled in Medicare?

Yes. Jubilee House Outreach is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jubilee House Outreach?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Jubilee House Outreach, in Clinical Social Worker and Marriage and Family Therapist. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jubilee House Outreach was last updated on January 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.