Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISS JANICE B FOOTLIK MA LCPC NCC CCCJS NA
NPI 1619954401
Psychologist in Evanston, IL

Active since December 22, 2005PECOS Enrolled
2521 GROSS POINT RD, 2ND FLOOR, EVANSTON, IL 60201(847) 866-9625(847) 328-6868 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Janice B Footlik Ma Lcpc Ncc Cccjs Na NPPES

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

MISS JANICE B FOOTLIK MA LCPC NCC CCCJS NA (NPI 1619954401) is an individual psychologist in Evanston, Illinois, licensed in Illinois (1020090) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619954401
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMISS JANICE B FOOTLIKCredential: MA LCPC NCC CCCJS NA
Location Address2521 GROSS POINT RD, 2ND FLOOREvanston, IL 60201-4993
Mailing Address2526 Wellington CtEvanston, IL 60201-4975 · (847) 866-9625 · Fax (847) 328-6868
Fax(847) 328-6868
Sole ProprietorNo
Enumeration DateDecember 22, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1619954401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in IL · 1020090 Licensed · A17526
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2521 GROSS POINT RD, Evanston, IL 60201

Other Identifiers 3

Other0007607959IL · Blue Cross Blue Shield
Other17526Nafc Provider
Other7481658IL · Aetna Ins Provider

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Miss Janice B Footlik Ma Lcpc Ncc Cccjs Na 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.

Other Providers at the Same Location NPPES 2

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

Technician (Attendant Care Provider)
2521 GROSS POINT RD
EVANSTON, IL 60201
Clinic/Center (Health Service)
2521 GROSS POINT RD
EVANSTON, IL 60201

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 Janice Footlik's NPI number?

The NPI number for Janice Footlik is 1619954401. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Janice Footlik located?

Janice Footlik practices at 2521 Gross Point Rd 2nd Floor, Evanston, IL 60201. The listed phone number is (847) 866-9625.

What is Janice Footlik's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Janice Footlik enrolled in Medicare?

Yes. Janice Footlik is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Janice Footlik was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.