LORETTA JEAN JENDRYKA LCPC
NPI 1568664902
Counselor - Professional in Dekalb, IL

Active since June 05, 2007PECOS Enrolled
12 HEALTH SERVICES DR, DEKALB, IL 60115(815) 756-4875(815) 756-2944 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Loretta Jean Jendryka Lcpc NPPES

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

LORETTA JEAN JENDRYKA LCPC (NPI 1568664902) is an individual professional provider in Dekalb, Illinois and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1568664902
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLORETTA JEAN JENDRYKACredential: LCPC
Location Address12 HEALTH SERVICES DRDekalb, IL 60115-9637
Mailing Address12 Health Services DrDekalb, IL 60115-9637 · (815) 756-4875 · Fax (815) 756-2944
Fax(815) 756-2944
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateJune 5, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1568664902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
12 HEALTH SERVICES DR, Dekalb, IL 60115

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Loretta Jean Jendryka Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830679315
PECOS Enrollment IDI20260213003090
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.

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.

Social Worker (Clinical)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Counselor
12 HEALTH SERVICES DR
DEKALB, IL 60115
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115

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 Loretta Jendryka's NPI number?

The NPI number for Loretta Jendryka is 1568664902. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Where is Loretta Jendryka located?

Loretta Jendryka practices at 12 Health Services Dr, Dekalb, IL 60115. The listed phone number is (815) 756-4875.

What is Loretta Jendryka's specialty?

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

Is Loretta Jendryka enrolled in Medicare?

Yes. Loretta Jendryka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Loretta Jendryka was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.