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JALEN COBB
NPI 1568053635
Counselor - Professional in Chicago, IL

Active since February 01, 2021PECOS Enrolled
5128 S MICHIGAN AVE, CHICAGO, IL 60615(312) 237-0130 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2024, Feb 14, 2023, Feb 1, 2021 (3 updates tracked since 2021).

About Jalen Cobb NPPES

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

JALEN COBB (NPI 1568053635) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.012625) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1568053635
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJALEN COBB
Location Address5128 S MICHIGAN AVEChicago, IL 60615-3306
Mailing AddressPo Box 805161Chicago, IL 60680-4113
Phone(312) 237-0130
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 1, 2021
Last NPPES UpdateFebruary 7, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1568053635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.012625
5128 S MICHIGAN AVE, Chicago, IL 60615
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jalen Cobb is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547745465
PECOS Enrollment IDI20260330001059
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 Jalen Cobb's NPI number?

The NPI number for Jalen Cobb is 1568053635. It was assigned to this individual provider in the NPPES registry on February 1, 2021.

Where is Jalen Cobb located?

Jalen Cobb practices at 5128 S Michigan Ave, Chicago, IL 60615. The listed phone number is (312) 237-0130.

What is Jalen Cobb's specialty?

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

Is Jalen Cobb enrolled in Medicare?

Yes. Jalen Cobb is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jalen Cobb was last updated on February 7, 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.