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KASSANDRA JEDIOLA LCSW
NPI 1427322130
Social Worker - Clinical in Dekalb, IL

Active since February 27, 2012PECOS EnrolledAccepts Medicare Assignment
631 S 1ST ST, DEKALB, IL 60115(815) 756-8501(815) 756-2944 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 26, 2023, Oct 28, 2022 (2 updates tracked since 2022).

About Kassandra Jediola Lcsw NPPES

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

KASSANDRA JEDIOLA LCSW (NPI 1427322130) is an individual clinical provider in Dekalb, Illinois, licensed in Illinois (149.017240) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2014).

NPPES Registry Identity

NPI1427322130
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKASSANDRA JEDIOLACredential: LCSW
Location Address631 S 1ST STDekalb, IL 60115-4117
Mailing AddressPo Box 1109Dekalb, IL 60115-7109 · (815) 756-4875
Phone(815) 756-8501
Fax(815) 756-2944
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2014
Enumeration DateFebruary 27, 2012
Last NPPES UpdateJanuary 26, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1427322130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.017240
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
631 S 1ST ST, Dekalb, IL 60115
Open in Google Maps ↗

Other Identifiers 1

Medicaid474579189001IL

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

Kassandra Jediola Lcsw 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 ID5890011563
PECOS Enrollment IDI20150225000461
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 Kassandra Jediola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dekalb Behavioral Health Foundation, Inc.
Same address
Mental Health (Including Community Mental Health Center)
631 S 1ST ST
Dekalb, IL 60115
  • Reassigned Medicare billing, Illinois enrollment
  • 30 clinicians in this Medicare group
NPI 1306203856 (815) 756-8501

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

JESSICA WILLIAMS LPC
Counselor (Professional)
631 S 1ST ST
DEKALB, IL 60115
Dekalb County (157) 568-5018
KELLY POFF
Counselor (Mental Health)
631 S 1ST ST
DEKALB, IL 60115
Dekalb County (815) 756-8501
EMILY NICOLE TAYLOR
Counselor
631 S 1ST ST
DEKALB, IL 60115
Dekalb County (815) 756-8501
RACHEL M GUERRERO
Counselor (Mental Health)
631 S 1ST ST
DEKALB, IL 60115
Dekalb County (815) 756-8501
KATY MATHEY BA, CRSS
Counselor
631 S 1ST ST
DEKALB, IL 60115
Dekalb County (815) 756-8501
MISS SABHIA SIMS
Counselor (Mental Health)
631 S 1ST ST
DEKALB, IL 60115
Dekalb County (815) 756-8501
KATIE GIEVER
Counselor (Mental Health)
631 S 1ST ST
DEKALB, IL 60115
Dekalb County (815) 756-8501
AMANDA MARIE REEVES
Counselor (Mental Health)
631 S 1ST ST
DEKALB, IL 60115
Dekalb County (815) 756-4875

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 Kassandra Jediola's NPI number?

The NPI number for Kassandra Jediola is 1427322130. It was assigned to this individual provider in the NPPES registry on February 27, 2012.

Where is Kassandra Jediola located?

Kassandra Jediola practices at 631 S 1st St, Dekalb, IL 60115. The listed phone number is (815) 756-8501.

What is Kassandra Jediola's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kassandra Jediola enrolled in Medicare?

Yes. Kassandra Jediola 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 Kassandra Jediola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kassandra Jediola reassigns Medicare benefits to Dekalb Behavioral Health Foundation, Inc. (Dekalb, 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 Kassandra Jediola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kassandra Jediola was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.