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MR. JAE MYUNG LEE LPC
NPI 1336637586
Counselor - Mental Health in Mt Prospect, IL

Active since April 24, 2018Opted out of Medicare · through Apr 1, 2028
1166 S ELMHURST RD, MT PROSPECT, IL 60056(847) 439-5195 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jae Myung Lee Lpc NPPES

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

MR. JAE MYUNG LEE LPC (NPI 1336637586) is an individual mental health provider in Mt Prospect, Illinois, licensed in Illinois (178.013659) and active in the NPI registry since April 2018. He has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1336637586
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JAE MYUNG LEECredential: LPC
Location Address1166 S ELMHURST RDMt Prospect, IL 60056-4241
Mailing Address1166 S Elmhurst RdMt Prospect, IL 60056-4241 · (847) 439-5195
Phone(847) 439-5195
Sole ProprietorNo
Enumeration DateApril 24, 2018
✔ NPI 1336637586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 178.013659
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 178.013659 (IL)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 178.013659 (IL)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 178.013659 (IL)
1166 S ELMHURST RD, Mt Prospect, IL 60056
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Jae Myung Lee Lpc 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 April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

HANUL FAMILY ALLIANCE
Clinic/Center (Adult Mental Health)
1166 S ELMHURST RD
MT PROSPECT, IL 60056
Cook County (847) 439-5195

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 Jae Lee's NPI number?

The NPI number for Jae Lee is 1336637586. It was assigned to this individual provider in the NPPES registry on April 24, 2018.

Where is Jae Lee located?

Jae Lee practices at 1166 S Elmhurst Rd, Mt Prospect, IL 60056. The listed phone number is (847) 439-5195.

What is Jae Lee's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jae Lee enrolled in Medicare?

No. Jae Lee has opted out of Medicare through April 1, 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 Jae Lee was last updated on April 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.