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MRS. JENNIFER CROCKETT
NPI 1235396250
Counselor - Mental Health in Paris, IL

Active since May 19, 2008PECOS EnrolledAccepts Medicare Assignment
118 E COURT ST, PARIS, IL 61944(217) 465-4118(217) 463-1899 Get Directions Write a Review

NPPES record last updated: June 10, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Jennifer Crockett NPPES

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

MRS. JENNIFER CROCKETT (NPI 1235396250) is an individual mental health provider in Paris, Illinois and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1235396250
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JENNIFER CROCKETT
Location Address118 E COURT STParis, IL 61944-2210
Mailing AddressPo Box 1118, 118 East Court StreetParis, IL 61944-5118 · (217) 465-4118 · Fax (217) 463-1899
Phone(217) 465-4118
Fax(217) 463-1899
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMay 19, 2008
Last NPPES UpdateJune 10, 2010
✔ NPI 1235396250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 149014166 (IL)
118 E COURT ST, Paris, IL 61944
Open in Google Maps ↗

Other Identifiers 2

Other150007815IL · Il Licensed Social Worker Masters
Other149014166IL · Illinois Division Of Professional Regulations

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jennifer Crockett 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 ID1254455900
PECOS Enrollment IDI20100901000505
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 Jennifer Crockett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Human Resources Center Of Edgar And Clark Counties
1.7 mi
Rehabilitation, Substance Use Disorder
745 E COURT ST
Paris, IL 61944
  • Reassigned Medicare billing, Illinois enrollment
  • 12 clinicians in this Medicare group
NPI 1790942761 (217) 465-4118

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 20

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

JOHANNA WESTIN LCSW
Social Worker (Clinical)
118 E COURT ST
PARIS, IL 61944
Edgar County (217) 465-4118
MISS MICHELLE L TATE
Counselor (Addiction (Substance Use Disorder))
118 E COURT ST
PARIS, IL 61944
Edgar County (217) 465-4118
PAMELA A BURKYBILE
Case Manager/Care Coordinator
118 E COURT ST
PARIS, IL 61944
Edgar County (217) 465-4118
MS. MARY ANN SEATON
Case Manager/Care Coordinator
118 E COURT ST
PARIS, IL 61944
Edgar County (217) 465-4118
JUDY BROWN
Counselor (Mental Health)
118 E COURT ST
PARIS, IL 61944
Edgar County (217) 465-4118
HEATHER MELTON LCSW
Social Worker (Clinical)
118 E COURT ST
PARIS, IL 61944
Edgar County (217) 465-4118
HUMAN RESOURCES CENTER OF EDGAR AND CLARK COUNTIES
Community/Behavioral Health
118 E COURT ST
PARIS, IL 61944
Edgar County (217) 465-4118
ROBERT M ANGUS
Counselor (Mental Health)
118 E COURT ST
PARIS, IL 61944
Edgar County (217) 465-4118

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 Jennifer Crockett's NPI number?

The NPI number for Jennifer Crockett is 1235396250. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Where is Jennifer Crockett located?

Jennifer Crockett practices at 118 E Court St, Paris, IL 61944. The listed phone number is (217) 465-4118.

What is Jennifer Crockett's specialty?

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

Is Jennifer Crockett enrolled in Medicare?

Yes. Jennifer Crockett 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.

Which organization bills Medicare for Jennifer Crockett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Crockett reassigns Medicare benefits to Human Resources Center Of Edgar And Clark Counties (Paris, 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 Jennifer Crockett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Crockett was last updated on June 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.