MRS. JACQUELINE CHRISTINE FISH-ROSSI M.A., LPC
NPI 1720641558
Counselor in Lockport, IL

Q: What is Jacqueline Fish-rossi's NPI number?

The NPI number for Jacqueline Fish-rossi is 1720641558. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Q: What is Jacqueline Fish-rossi's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Active since April 17, 2019PECOS Enrolled

16221 W 159TH ST STE 102, LOCKPORT, IL 60441(847) 868-3435(847) 859-5885 Get Directions Write a Review

NPPES record last updated: May 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2019, Apr 17, 2019 (2 updates tracked since 2019).

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About Mrs. Jacqueline Christine Fish-rossi M.a., Lpc NPPES

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

MRS. JACQUELINE CHRISTINE FISH-ROSSI M.A., LPC (NPI 1720641558) is an individual counselor in Lockport, Illinois, licensed in Illinois (178014735) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720641558

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. JACQUELINE CHRISTINE FISH-ROSSICredential: M.A., LPC

Location Address16221 W 159TH ST STE 102Lockport, IL 60441

Mailing Address175 E Hawthorn Pkwy Ste 235Vernon Hills, IL 60061-1454 · (847) 737-8768 · Fax (847) 859-5885

Phone(847) 868-3435

Fax(847) 859-5885

Sole ProprietorNo

Enumeration DateApril 17, 2019

Last NPPES UpdateMay 28, 20192 updates tracked since enumeration

✔ NPI 1720641558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in IL · 178014735

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

16221 W 159TH ST STE 102, Lockport, IL 60441

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jacqueline Christine Fish-rossi M.a., Lpc 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 8

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

CAMELLE BURLOCK LCPC

Counselor (Professional)