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SHREYA JAIN
NPI 1639922834
Counselor - Mental Health in Grayslake, IL

Active since April 08, 2024PECOS Enrolled
100 N ATKINSON RD, GRAYSLAKE, IL 60030(847) 441-5600 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 12, 2025, Apr 8, 2024 (2 updates tracked since 2024).

About Shreya Jain NPPES

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

SHREYA JAIN (NPI 1639922834) is an individual mental health provider in Grayslake, Illinois, licensed in Illinois (178.022240) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639922834
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHREYA JAIN
Location Address100 N ATKINSON RDGrayslake, IL 60030-7801
Mailing Address3919 W Dory DrFranklin, WI 53132-8108 · (414) 687-2304
Phone(847) 441-5600
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 8, 2024
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1639922834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 178.022240
100 N ATKINSON RD, Grayslake, IL 60030
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID941771059
PECOS Enrollment IDI20260609002095
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 Shreya Jain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Josselyn Center Nfp
Same address
Mental Health (Including Community Mental Health Center)
100 N ATKINSON RD
Grayslake, IL 60030
  • Reassigned Medicare billing, Illinois enrollment
  • 138 clinicians in this Medicare group
NPI 1841078714 (847) 441-5600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

EMMA A MACDOUGALL LCPC, ATR-BC
Counselor (Professional)
100 N ATKINSON RD
GRAYSLAKE, IL 60030
Lake County (847) 441-5600
GABRIELLA CAMPO
Clinic/Center (Mental Health (Including Community Mental Health Center))
100 N ATKINSON RD
GRAYSLAKE, IL 60030
Lake County (847) 441-5600
ERIN FLYNN
Student in an Organized Health Care Education/Training Program
100 N ATKINSON RD
GRAYSLAKE, IL 60030
Lake County (847) 441-5600
JENNIFER CELIS
Case Manager/Care Coordinator
100 N ATKINSON RD
GRAYSLAKE, IL 60030
Lake County (847) 441-5600
RUBI BOLLES LCSW
Social Worker (Clinical)
100 N ATKINSON RD
GRAYSLAKE, IL 60030
Lake County (847) 441-5600
NIKITA VALENTYNA COAD LSW
Social Worker
100 N ATKINSON RD
GRAYSLAKE, IL 60030
Lake County (847) 441-5600
LAUREN MARY BARTELS
Counselor (Mental Health)
100 N ATKINSON RD
GRAYSLAKE, IL 60030
Lake County (847) 441-5600
MS. DIANA YARELI CABALLERO BOLANOS MA
Counselor (Mental Health)
100 N ATKINSON RD
GRAYSLAKE, IL 60030
Lake County (847) 441-5600

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 Shreya Jain's NPI number?

The NPI number for Shreya Jain is 1639922834. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Shreya Jain located?

Shreya Jain practices at 100 N Atkinson Rd, Grayslake, IL 60030. The listed phone number is (847) 441-5600.

What is Shreya Jain's specialty?

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

Is Shreya Jain enrolled in Medicare?

Yes. Shreya Jain is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shreya Jain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shreya Jain reassigns Medicare benefits to The Josselyn Center Nfp (Grayslake, 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 Shreya Jain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shreya Jain was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.