DR. JACQUELINE R SALAZAR PSY.D.
NPI 1356096424
Counselor - Professional in Chicago, IL

Active since February 17, 2022PECOS Enrolled
1017 WEST CULLERTON STREET, CHICAGO, IL 60608(312) 241-8248 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 24, 2023, Feb 17, 2022 (2 updates tracked since 2022).

About Dr. Jacqueline R Salazar Psy.d. NPPES

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

DR. JACQUELINE R SALAZAR PSY.D. (NPI 1356096424) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.014288) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356096424
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. JACQUELINE R SALAZARCredential: PSY.D.
Location Address1017 WEST CULLERTON STREETChicago, IL 60608
Mailing Address1440 W Taylor St # 2059Chicago, IL 60607-4623 · (312) 241-8248
Sole ProprietorYes
Enumeration DateFebruary 17, 2022
Last NPPES UpdateJanuary 31, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2024
NPI 1356096424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180.014288
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 32703 (IL)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1017 WEST CULLERTON STREET, Chicago, IL 60608

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jacqueline R Salazar Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Salazar's NPI number?

The NPI number for Jacqueline Salazar is 1356096424. It was assigned to this individual provider in the NPPES registry on February 17, 2022.

Where is Jacqueline Salazar located?

Jacqueline Salazar practices at 1017 West Cullerton Street, Chicago, IL 60608. The listed phone number is (312) 241-8248.

What is Jacqueline Salazar's specialty?

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

Is Jacqueline Salazar enrolled in Medicare?

Yes. Jacqueline Salazar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Salazar was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.