JENNIE MCCORMICK LPC
NPI 1255807871
Counselor - Professional in Springfield, IL

Active since October 22, 2018PECOS EnrolledAccepts Medicare Assignment
2200 LAKE VICTORIA DR, SPRINGFIELD, IL 62703(217) 529-9266 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennie Mccormick Lpc NPPES

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

JENNIE MCCORMICK LPC (NPI 1255807871) is an individual professional provider in Springfield, Illinois, licensed in Illinois (178013380) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1255807871
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIE MCCORMICKCredential: LPC
Location Address2200 LAKE VICTORIA DRSpringfield, IL 62703-5596
Mailing Address55 E Jackson Blvd Ste 1500Chicago, IL 60604-4137 · (312) 663-1130 · Fax (312) 663-0504
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 22, 2018
NPI 1255807871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 178013380
2200 LAKE VICTORIA DR, Springfield, IL 62703

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

Jennie Mccormick Lpc 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 ID3072038454
PECOS Enrollment IDI20250417002682
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 12

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

Nurse Practitioner (Psychiatric/Mental Health)
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Counselor (Professional)
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Counselor (Addiction (Substance Use Disorder))
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Clinic/Center (Rehabilitation, Substance Use Disorder)
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Counselor (Professional)
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Nurse Practitioner (Psychiatric/Mental Health)
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Psychiatry & Neurology (Psychiatry)
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703
Counselor (Professional)
2200 LAKE VICTORIA DR
SPRINGFIELD, IL 62703

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 Jennie Mccormick's NPI number?

The NPI number for Jennie Mccormick is 1255807871. It was assigned to this individual provider in the NPPES registry on October 22, 2018.

Where is Jennie Mccormick located?

Jennie Mccormick practices at 2200 Lake Victoria Dr, Springfield, IL 62703. The listed phone number is (217) 529-9266.

What is Jennie Mccormick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jennie Mccormick enrolled in Medicare?

Yes. Jennie Mccormick 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.

When was this NPI record last updated?

The NPPES record for Jennie Mccormick was last updated on October 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.