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ANDREW SCOTT JACK M.A.
NPI 1265864797
Counselor - Professional in Wheaton, IL

Active since August 07, 2013PECOS EnrolledAccepts Medicare Assignment
7 BLANCHARD CIR STE 201, WHEATON, IL 60189(630) 653-2300(630) 653-2895 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrew Scott Jack M.a. NPPES

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

ANDREW SCOTT JACK M.A. (NPI 1265864797) is an individual professional provider in Wheaton, Illinois and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Wheaton, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1265864797
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameANDREW SCOTT JACKCredential: M.A.
Location Address7 BLANCHARD CIR STE 201Wheaton, IL 60189-2039
Mailing Address1n002 Barry AveWheaton, IL 60187-2920 · (630) 779-0974 · Fax (630) 716-9649
Phone(630) 653-2300
Fax(630) 653-2895
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 7, 2013
Last NPPES UpdateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
✔ NPI 1265864797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
7 BLANCHARD CIR STE 201, Wheaton, IL 60189
Open in Google Maps ↗

Secondary Practice Location 1

Location 1107 N Hale StWheaton, IL 60187-5117 · Phone (630) 779-0974 · Fax (630) 716-9649

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Andrew Scott Jack M.a. 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 ID2769962687
PECOS Enrollment IDI20260218002135
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 Reassignments

2

Medicare enrollment records show Andrew Jack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tartan Counseling LLC
0.1 mi
Counselor
107 N HALE ST
Wheaton, IL 60187
  • Reassigned Medicare billing, Illinois enrollment
NPI 1740148873 (630) 779-0974
Alliance Clinical Associates Sc
2.1 mi
Psychiatry
7 BLANCHARD CIR, SUITE 201
Wheaton, IL 60189
  • Reassigned Medicare billing, Illinois enrollment
  • 20 clinicians in this Medicare group
NPI 1144299769 (630) 653-2300

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 9

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

DR. CONNIE VALENTINI PSY.D.
Psychologist (Clinical)
7 BLANCHARD CIR STE 201
WHEATON, IL 60189
Dupage County (630) 653-2300
ERIC BROWN LPC
Counselor (Mental Health)
7 BLANCHARD CIR STE 201
WHEATON, IL 60189
Dupage County (630) 653-2300
MS. BETTY CRANE M.A., L.C.P.C.
Counselor
7 BLANCHARD CIR STE 201
WHEATON, IL 60189
Dupage County (630) 653-2300
MRS. ERICA ALLEN HILLSTROM LCPC
Counselor (Professional)
7 BLANCHARD CIR STE 201
WHEATON, IL 60189
Dupage County (630) 653-2300
DR. KELLY SCHIMMEL FLANAGAN PHD, LCP
Psychologist (Clinical Child & Adolescent)
7 BLANCHARD CIR STE 201
WHEATON, IL 60189
Dupage County (630) 653-2300
DR. STEVE C. LEE M.D.
Psychiatry & Neurology (Psychiatry)
7 BLANCHARD CIR STE 201
WHEATON, IL 60189
Dupage County (630) 653-2300
JENNIFER MANGAN LPC, CADC
Counselor (Professional)
7 BLANCHARD CIR STE 201
WHEATON, IL 60189
Dupage County (630) 653-2300
RILEA JOY PETERSEN LPC
Counselor (Mental Health)
7 BLANCHARD CIR STE 201
WHEATON, IL 60189
Dupage County (630) 653-2300

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 Andrew Jack's NPI number?

The NPI number for Andrew Jack is 1265864797. It was assigned to this individual provider in the NPPES registry on August 7, 2013.

Where is Andrew Jack located?

Andrew Jack practices at 7 Blanchard Cir Ste 201, Wheaton, IL 60189. The listed phone number is (630) 653-2300.

What is Andrew Jack's specialty?

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

Is Andrew Jack enrolled in Medicare?

Yes. Andrew Jack 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 organizations bill Medicare for Andrew Jack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Jack reassigns Medicare benefits to 2 organizations: Tartan Counseling LLC (Wheaton, IL) and Alliance Clinical Associates Sc (Wheaton, IL). Each 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 Andrew Jack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Jack accept?

Health plans from Oscar Health list Andrew Jack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Jack was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.