1. Home
  2. Directory
  3. Illinois
  4. Grayville
  5. Counselor
  6. NPI Profile

JESSICA N ROOSEVELT LCSW
NPI 1467028241
Counselor - Mental Health in Grayville, IL

Active since June 02, 2021PECOS Enrolled
426 W COMMERCE ST, GRAYVILLE, IL 62844(618) 384-7544 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica N Roosevelt Lcsw NPPES

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

JESSICA N ROOSEVELT LCSW (NPI 1467028241) is an individual mental health provider in Grayville, Illinois and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467028241
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA N ROOSEVELTCredential: LCSW
Location Address426 W COMMERCE STGrayville, IL 62844-1570
Mailing Address426 W Commerce StGrayville, IL 62844-1570 · (618) 384-7544
Phone(618) 384-7544
Sole ProprietorYes
Enumeration DateJune 2, 2021
NPPES CertifiedJune 2, 2021
✔ NPI 1467028241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
426 W COMMERCE ST, Grayville, IL 62844
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica N Roosevelt Lcsw 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 Jessica Roosevelt's NPI number?

The NPI number for Jessica Roosevelt is 1467028241. It was assigned to this individual provider in the NPPES registry on June 2, 2021.

Where is Jessica Roosevelt located?

Jessica Roosevelt practices at 426 W Commerce St, Grayville, IL 62844. The listed phone number is (618) 384-7544.

What is Jessica Roosevelt's specialty?

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

Is Jessica Roosevelt enrolled in Medicare?

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

What insurance does Jessica Roosevelt accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and UnitedHealthcare list Jessica Roosevelt 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 Roosevelt was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.