DR. JESSICA LEE MARSHALL PSY.D.
NPI 1457667776
Psychologist - Clinical in Carol Stream, IL

Q: What is Jessica Marshall's NPI number?

The NPI number for Jessica Marshall is 1457667776. It was assigned to this individual provider in the NPPES registry on August 24, 2010. The provider is also known as Ms. Jessica Lee Bucknam M.A..

Q: What is Jessica Marshall's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Marshall was last updated on December 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 24, 2010PECOS Enrolled

336 GUNDERSEN DRIVE, SUITE B, CAROL STREAM, IL 60188(630) 871-2100(630) 588-0824 Get Directions Write a Review

NPPES record last updated: December 18, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 18, 2019, Nov 8, 2019 (2 updates tracked since 2019).

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About Dr. Jessica Lee Marshall Psy.d. NPPES

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

DR. JESSICA LEE MARSHALL PSY.D. (NPI 1457667776) is an individual clinical provider in Carol Stream, Illinois, licensed in Illinois (IL#071.009056) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457667776

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JESSICA LEE MARSHALLCredential: PSY.D.

Location Address336 GUNDERSEN DRIVE, SUITE BCarol Stream, IL 60188

Mailing Address373 S Schmale Rd Ste 102Carol Stream, IL 60188-2771 · (630) 682-1910 · Fax (630) 682-3094

Phone(630) 871-2100

Fax(630) 588-0824

Sole ProprietorYes

Enumeration DateAugust 24, 2010

Last NPPES UpdateDecember 18, 20192 updates tracked since enumeration

✔ NPI 1457667776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · IL#071.009056

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

336 GUNDERSEN DRIVE, Carol Stream, IL 60188

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Other Names 1

Former Name (1)Ms. Jessica Lee Bucknam M.a.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Lee Marshall 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.

Medicare Billing Reassignment

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

Outreach Community Ministries Inc

2.5 mi

Adolescent and Children Mental Health

300 E ROOSEVELT RD STE 200
Wheaton, IL 60187

Reassigned Medicare billing, Illinois enrollment
6 clinicians in this Medicare group

NPI 1255443669 (630) 682-1910

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 60188 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

$181.38 typical visit price

range $59.81 – $181.38

Typical copayment $45.34 (range $14.95 – $45.34)

Most-billed visit code 99205

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jessica Marshall's NPI number?

The NPI number for Jessica Marshall is 1457667776. It was assigned to this individual provider in the NPPES registry on August 24, 2010. The provider is also known as Ms. Jessica Lee Bucknam M.A..

Where is Jessica Marshall located?

Jessica Marshall practices at 336 Gundersen Drive Suite B, Carol Stream, IL 60188. The listed phone number is (630) 871-2100.

What is Jessica Marshall's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jessica Marshall enrolled in Medicare?

Yes. Jessica Marshall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Marshall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Marshall reassigns Medicare benefits to Outreach Community Ministries Inc (Wheaton, 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 Jessica Marshall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Marshall accept?

Health plans from Oscar Health list Jessica Marshall 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 Jessica Marshall was last updated on December 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.