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JENNA JABLONSKI LPC, CADC
NPI 1700422284
Counselor - Mental Health in Chicago, IL

Active since November 20, 2019Opted out of Medicare · through Oct 17, 2027
1416 W BELMONT AVE, CHICAGO, IL 60657(773) 799-8966 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2019, Nov 20, 2019 (2 updates tracked since 2019).

About Jenna Jablonski Lpc, Cadc NPPES

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

JENNA JABLONSKI LPC, CADC (NPI 1700422284) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (178.015342) and active in the NPI registry since November 2019. She has opted out of Medicare through October 17, 2027.

NPPES Registry Identity

NPI1700422284
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNA JABLONSKICredential: LPC, CADC
Location Address1416 W BELMONT AVEChicago, IL 60657-0939
Mailing Address3335 W Diversey Ave Apt 217Chicago, IL 60647-1368 · (616) 648-0379
Phone(773) 799-8966
Sole ProprietorYes
Enumeration DateNovember 20, 2019
Last NPPES UpdateDecember 11, 20192 updates tracked since enumeration
✔ NPI 1700422284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 178.015342
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 36078 (IL)
1416 W BELMONT AVE, Chicago, IL 60657
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jenna Jablonski Lpc, Cadc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 17, 2025 through October 17, 2027.

Opt-Out Effective DateOctober 17, 2025
Opt-Out In Effect ThroughOctober 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

JULIE THOMAS-LOTTERMAN
Counselor (Professional)
1416 W BELMONT AVE
CHICAGO, IL 60657
Cook County (734) 717-8764
JOSH FRACCARO LSW
Social Worker (Clinical)
1416 W BELMONT AVE
CHICAGO, IL 60657
Cook County (773) 799-8966
GREGORY ERICKSON LCSW
Social Worker
1416 W BELMONT AVE
CHICAGO, IL 60657
Cook County (773) 799-8966
KARINA TOVAR LCSW
Social Worker (Clinical)
1416 W BELMONT AVE
CHICAGO, IL 60657
Cook County (773) 799-8966
GHISLAINE TONYE
Nurse Practitioner (Psychiatric/Mental Health)
1416 W BELMONT AVE
CHICAGO, IL 60657
Cook County (630) 884-4940
MATTHEW ROBERT MARX
Counselor (Professional)
1416 W BELMONT AVE
CHICAGO, IL 60657
Cook County (773) 799-8966
EMILY CULL HENDRICKS MA
Social Worker
1416 W BELMONT AVE
CHICAGO, IL 60657
Cook County (773) 234-1439
MS. MARTA JEAN VON ROSENVINGE LSW
Social Worker
1416 W BELMONT AVE
CHICAGO, IL 60657
Cook County (773) 799-8966

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 Jenna Jablonski's NPI number?

The NPI number for Jenna Jablonski is 1700422284. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Where is Jenna Jablonski located?

Jenna Jablonski practices at 1416 W Belmont Ave, Chicago, IL 60657. The listed phone number is (773) 799-8966.

What is Jenna Jablonski's specialty?

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

Is Jenna Jablonski enrolled in Medicare?

No. Jenna Jablonski has opted out of Medicare through October 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jenna Jablonski was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.