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MR. JESSE M PEREZ LCPC
NPI 1730636374
Counselor - Mental Health in Crystal Lake, IL

Active since September 01, 2016PECOS Enrolled
1242 FERNLEAF DR, CRYSTAL LAKE, IL 60014(815) 814-7475 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2020, Sep 1, 2016 (2 updates tracked since 2016).

About Mr. Jesse M Perez Lcpc NPPES

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

MR. JESSE M PEREZ LCPC (NPI 1730636374) is an individual mental health provider in Crystal Lake, Illinois, licensed in Illinois (180013206) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oak Park, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2015).

NPPES Registry Identity

NPI1730636374
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JESSE M PEREZCredential: LCPC
Location Address1242 FERNLEAF DRCrystal Lake, IL 60014-8996
Mailing Address1242 Fernleaf DrvieCrystal Lake, IL 60014-8996 · (815) 814-7475
Phone(815) 814-7475
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2015
Enumeration DateSeptember 1, 2016
Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration
NPPES CertifiedAugust 21, 2020
✔ NPI 1730636374 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 · 180013206
1242 FERNLEAF DR, Crystal Lake, IL 60014
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Secondary Practice Location 1

Location 1715 Lake St Ste 517AOak Park, IL 60301-1414 · Phone (708) 529-1940

Other Identifiers 1

Other180013206IL · State Of Illinois Department Of Finacial And Professional Regulation

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jesse M Perez Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880187970
PECOS Enrollment IDI20251205003717
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.

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 Jesse Perez's NPI number?

The NPI number for Jesse Perez is 1730636374. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Jesse Perez located?

Jesse Perez practices at 1242 Fernleaf Dr, Crystal Lake, IL 60014. The listed phone number is (815) 814-7475.

What is Jesse Perez's specialty?

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

Is Jesse Perez enrolled in Medicare?

Yes. Jesse Perez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jesse Perez was last updated on October 27, 2020. 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.