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JACQUELINE ROSE BARON LCPC
NPI 1740748516
Counselor - Professional in Chicago, IL

Active since March 11, 2019Opted out of Medicare · through Apr 2, 2028
111 NORTH WABASH AVE. STE.100, THE GARLAND BUILDING #3379, CHICAGO, IL 60602(312) 809-0312 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 9, 2025, May 16, 2022, Mar 11, 2019 (3 updates tracked since 2019).

About Jacqueline Rose Baron Lcpc NPPES

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

JACQUELINE ROSE BARON LCPC (NPI 1740748516) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.014118) and active in the NPI registry since March 2019. She has opted out of Medicare through April 2, 2028.

NPPES Registry Identity

NPI1740748516
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUELINE ROSE BARONCredential: LCPC
Location Address111 NORTH WABASH AVE. STE.100, THE GARLAND BUILDING #3379Chicago, IL 60602-1903
Mailing Address111 North Wabash Ave. Ste.100, The Garland Building #3379Chicago, IL 60602-1903 · (312) 219-1597
Phone(312) 809-0312
Sole ProprietorYes
Enumeration DateMarch 11, 2019
Last NPPES UpdateMay 9, 20253 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
✔ NPI 1740748516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.014118
111 NORTH WABASH AVE. STE.100, Chicago, IL 60602
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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

Jacqueline Rose Baron Lcpc 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 April 2, 2024 through April 2, 2028.

Opt-Out Effective DateApril 2, 2024
Opt-Out In Effect ThroughApril 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Jacqueline Baron's NPI number?

The NPI number for Jacqueline Baron is 1740748516. It was assigned to this individual provider in the NPPES registry on March 11, 2019.

Where is Jacqueline Baron located?

Jacqueline Baron practices at 111 North Wabash Ave. Ste.100 The Garland Building #3379, Chicago, IL 60602. The listed phone number is (312) 809-0312.

What is Jacqueline Baron's specialty?

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

Is Jacqueline Baron enrolled in Medicare?

No. Jacqueline Baron has opted out of Medicare through April 2, 2028. 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 Jacqueline Baron was last updated on May 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.