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JESSICA BACKUS
NPI 1649738550
Counselor - Professional in Chicago, IL

Active since March 10, 2019
1209 W DIVERSEY PKWY UNIT G-2, CHICAGO, IL 60614(802) 922-4860 Get Directions Write a Review

NPPES record last updated: December 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2022, Mar 10, 2019 (2 updates tracked since 2019).

About Jessica Backus NPPES

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

JESSICA BACKUS (NPI 1649738550) is an individual professional provider in Chicago, Illinois, licensed in Illinois (178.018663) and active in the NPI registry since March 2019. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1649738550
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA BACKUS
Location Address1209 W DIVERSEY PKWY UNIT G-2Chicago, IL 60614-1201
Mailing Address1209 W Diversey Pkwy Unit G-2Chicago, IL 60614-1201 · (802) 922-4860
Phone(802) 922-4860
Sole ProprietorNo
Enumeration DateMarch 10, 2019
Last NPPES UpdateDecember 3, 20222 updates tracked since enumeration
NPPES CertifiedDecember 3, 2022
✔ NPI 1649738550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178.018663
Also ListedBehavior TechnicianTaxonomy 106S00000X
1209 W DIVERSEY PKWY UNIT G-2, Chicago, IL 60614
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Secondary Practice Location 1

Location 11801 W Warner Ave Ste 101Chicago, IL 60613-1891 · Phone (312) 940-2190

Other Providers at the Same Location NPPES 7

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

ELENA PAGELS NCC
Counselor (Mental Health)
1209 W DIVERSEY PKWY UNIT G-2
CHICAGO, IL 60614
Cook County (773) 236-8566
CHRISTY THIELEN
Counselor (Professional)
1209 W DIVERSEY PKWY UNIT G-2
CHICAGO, IL 60614
Cook County (773) 236-8566
MEGAN KNOWLES
Counselor
1209 W DIVERSEY PKWY UNIT G-2
CHICAGO, IL 60614
Cook County (773) 236-8566
ALYSHA BURD MED, LPC, NCC
Counselor (Mental Health)
1209 W DIVERSEY PKWY UNIT G-2
CHICAGO, IL 60614
Cook County (773) 236-8566
RYLIE HART TERRION MED, LCP
Counselor (Mental Health)
1209 W DIVERSEY PKWY UNIT G-2
CHICAGO, IL 60614
Cook County (773) 236-8566
CAROLINE SRBENY
Counselor (Mental Health)
1209 W DIVERSEY PKWY UNIT G-2
CHICAGO, IL 60614
Cook County (773) 236-8566
CASEY TANGONAN
Counselor (Professional)
1209 W DIVERSEY PKWY UNIT G-2
CHICAGO, IL 60614
Cook County (773) 236-8566

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 Backus's NPI number?

The NPI number for Jessica Backus is 1649738550. It was assigned to this individual provider in the NPPES registry on March 10, 2019.

Where is Jessica Backus located?

Jessica Backus practices at 1209 W Diversey Pkwy Unit G-2, Chicago, IL 60614. The listed phone number is (802) 922-4860.

What is Jessica Backus's specialty?

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

When was this NPI record last updated?

The NPPES record for Jessica Backus was last updated on December 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.