DR. JASON HACKER PH.D.
NPI 1699142091
Psychologist - Clinical in Chicago, IL

Q: What is Jason Hacker's NPI number?

The NPI number for Jason Hacker is 1699142091. It was assigned to this individual provider in the NPPES registry on September 1, 2015.

Q: What is Jason Hacker's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jason Hacker was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 01, 2015PECOS EnrolledAccepts Medicare Assignment

30 N MICHIGAN AVE STE 2015, CHICAGO, IL 60602(312) 925-6330 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 8, 2021, Apr 1, 2016, Mar 14, 2016 (3 updates tracked since 2016).

On this page

About Dr. Jason Hacker Ph.d. NPPES

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

DR. JASON HACKER PH.D. (NPI 1699142091) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071009274) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1699142091

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JASON HACKERCredential: PH.D.

Location Address30 N MICHIGAN AVE STE 2015Chicago, IL 60602-3611

Mailing Address30 N Michigan Ave Ste 2015Chicago, IL 60602-3611 · (312) 925-6330

Phone(312) 925-6330

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateSeptember 1, 2015

Last NPPES UpdateSeptember 8, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2021

✔ NPI 1699142091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071009274

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License PSY1001016 (DC)

30 N MICHIGAN AVE STE 2015, Chicago, IL 60602

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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 and accepts Medicare assignment

Dr. Jason Hacker Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123317658

PECOS Enrollment IDI20160523001247

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 Jason Hacker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jason Hacker Ph.D. Therapy And Psychological Services LLC

Same address

Clinical

30 N MICHIGAN AVE STE 2015
Chicago, IL 60602

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Jason Hacker Phd Therapy And Psychological Services LLC

NPI 1396108874 (312) 925-6330

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JASON HACKER PH.D. THERAPY AND PSYCHOLOGICAL SERVICES LLC

Psychologist (Clinical)

30 N MICHIGAN AVE STE 2015
CHICAGO, IL 60602

Cook County (312) 925-6330

MS. ELISA EUGENIA LEYVA CEA MA, LCPC

Counselor (Mental Health)

30 N MICHIGAN AVE STE 2015
CHICAGO, IL 60602

Cook County (312) 925-6330

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 Jason Hacker's NPI number?

The NPI number for Jason Hacker is 1699142091. It was assigned to this individual provider in the NPPES registry on September 1, 2015.

Where is Jason Hacker located?

Jason Hacker practices at 30 N Michigan Ave Ste 2015, Chicago, IL 60602. The listed phone number is (312) 925-6330.

What is Jason Hacker's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jason Hacker enrolled in Medicare?

Yes. Jason Hacker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jason Hacker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Hacker reassigns Medicare benefits to Jason Hacker Ph.D. Therapy And Psychological Services LLC (Chicago, 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 Jason Hacker'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 Jason Hacker was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.