JACQUELINE CARMODY
NPI 1265895577
Counselor - Mental Health in Chicago, IL
About Jacqueline Carmody NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE CARMODY (NPI 1265895577) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (180010042) and active in the NPI registry since April 2016. She has opted out of Medicare through March 29, 2028 and maintains a secondary practice location in Palos Heights.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jacqueline Carmody has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 29, 2024 through March 29, 2028.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60622
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 Jacqueline Carmody's NPI number?
The NPI number for Jacqueline Carmody is 1265895577. It was assigned to this individual provider in the NPPES registry on April 4, 2016.
Where is Jacqueline Carmody located?
Jacqueline Carmody practices at 1579 N Milwaukee Ave, Chicago, IL 60622. The listed phone number is (872) 233-8808.
What is Jacqueline Carmody's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jacqueline Carmody enrolled in Medicare?
No. Jacqueline Carmody has opted out of Medicare through March 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jacqueline Carmody was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Jacqueline Carmody · NPI 1265895577
Mental Health provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since April 4, 2016.
## Identity
- **NPI:** 1265895577 (Entity type: Individual)
- **Enumerated:** April 4, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 180010042 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1579 N MILWAUKEE AVE, Chicago, IL 60622-2452
- **Phone:** (872) 233-8808
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 29, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** February 25, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1265895577) · Data from the CMS NPPES public registry.