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: July 26, 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
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

Secondary Practice Location 1

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

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

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.

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.

Psychologist (Clinical)
7 BLANCHARD CIR STE 201
WHEATON, IL 60189
Counselor (Mental Health)
7 BLANCHARD CIR STE 201
WHEATON, IL 60189
Counselor
7 BLANCHARD CIR STE 201
WHEATON, IL 60189
Counselor (Professional)
7 BLANCHARD CIR STE 201
WHEATON, IL 60189
Psychologist (Clinical Child & Adolescent)
7 BLANCHARD CIR STE 201
WHEATON, IL 60189
Psychiatry & Neurology (Psychiatry)
7 BLANCHARD CIR STE 201
WHEATON, IL 60189
Counselor (Professional)
7 BLANCHARD CIR STE 201
WHEATON, IL 60189
Counselor (Mental Health)
7 BLANCHARD CIR STE 201
WHEATON, IL 60189

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.

When was this NPI record last updated?

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