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: July 19, 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
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 ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 149014166 (IL)
118 E COURT ST, Paris, IL 61944

Other Identifiers 2

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

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

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.

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.

Counselor (Addiction (Substance Use Disorder))
118 E COURT ST
PARIS, IL 61944
Counselor (Addiction (Substance Use Disorder))
118 E COURT ST
PARIS, IL 61944
Counselor (Mental Health)
118 E COURT ST
PARIS, IL 61944
Counselor (Mental Health)
118 E COURT ST
PARIS, IL 61944
Counselor (Addiction (Substance Use Disorder))
118 E COURT ST
PARIS, IL 61944
Counselor (Mental Health)
118 E COURT ST
PARIS, IL 61944
Case Manager/Care Coordinator
118 E COURT ST
PARIS, IL 61944
Counselor (Mental Health)
118 E COURT ST
PARIS, IL 61944

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235396250, enumerated as an "individual" on May 19, 2008.

The provider is located at 118 E COURT ST PARIS, IL 61944 and the phone number is (217) 465-4118.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.