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JEREMY PHELPS
NPI 1376252007
Counselor in Crystal Lake, IL

Active since November 21, 2022PECOS EnrolledAccepts Medicare Assignment
970 S MCHENRY AVE, CRYSTAL LAKE, IL 60014(815) 322-9823(815) 455-7510 Get Directions Write a Review

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

Record update history: Apr 20, 2026, Sep 2, 2025, Nov 21, 2022 (3 updates tracked since 2022).

About Jeremy Phelps NPPES

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

JEREMY PHELPS (NPI 1376252007) is an individual counselor in Crystal Lake, Illinois, licensed in Illinois (180017263) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1376252007
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJEREMY PHELPS
Location Address970 S MCHENRY AVECrystal Lake, IL 60014-7449
Mailing Address970 S Mchenry AveCrystal Lake, IL 60014-7449 · (815) 322-9823 · Fax (815) 455-7510
Phone(815) 322-9823
Fax(815) 455-7510
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 21, 2022
Last NPPES UpdateApril 20, 20263 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1376252007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IL · 180017263
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
970 S MCHENRY AVE, Crystal Lake, IL 60014
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Jeremy Phelps 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 ID8123595980
PECOS Enrollment IDI20260429002668
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 Reassignment

Medicare enrollment records show Jeremy Phelps reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Telos Counseling Services PLLC
Same address
Counselor
970 S MCHENRY AVE
Crystal Lake, IL 60014
  • Reassigned Medicare billing, Illinois enrollment
NPI 1861376238 (281) 475-6906

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

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

TELOS COUNSELING SERVICES PLLC
Counselor
970 S MCHENRY AVE
CRYSTAL LAKE, IL 60014
McHenry County (281) 475-6906

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 Jeremy Phelps's NPI number?

The NPI number for Jeremy Phelps is 1376252007. It was assigned to this individual provider in the NPPES registry on November 21, 2022.

Where is Jeremy Phelps located?

Jeremy Phelps practices at 970 S Mchenry Ave, Crystal Lake, IL 60014. The listed phone number is (815) 322-9823.

What is Jeremy Phelps's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jeremy Phelps enrolled in Medicare?

Yes. Jeremy Phelps 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 organization bills Medicare for Jeremy Phelps's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Phelps reassigns Medicare benefits to Telos Counseling Services PLLC (Crystal Lake, IL). The 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 Jeremy Phelps's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Phelps accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Jeremy Phelps 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 Jeremy Phelps was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.