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JACQUELINE TRAVERSA
NPI 1760057442
Counselor in Wheaton, IL

Active since May 25, 2021PECOS Enrolled
111 N COUNTY FARM RD, WHEATON, IL 60187(630) 682-7400 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jacqueline Traversa NPPES

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

JACQUELINE TRAVERSA (NPI 1760057442) is an individual counselor in Wheaton, Illinois and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760057442
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJACQUELINE TRAVERSA
Location Address111 N COUNTY FARM RDWheaton, IL 60187-3977
Mailing Address111 N County Farm RdWheaton, IL 60187-3977
Phone(630) 682-7400
Sole ProprietorNo
Enumeration DateMay 25, 2021
NPPES CertifiedMay 25, 2021
✔ NPI 1760057442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
111 N COUNTY FARM RD, Wheaton, IL 60187
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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 (PECOS)

Jacqueline Traversa 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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Traversa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Dupage Department Of Health
Same address
Mental Health (Including Community Mental Health Center)
111 N COUNTY FARM RD
Wheaton, IL 60187
  • Reassigned Medicare billing, Illinois enrollment
  • 63 clinicians in this Medicare group
NPI 1134110786 (630) 682-7400

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

Other Providers at the Same Location NPPES 20

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

ANGELA D MILLER
Case Manager/Care Coordinator
111 N COUNTY FARM RD
WHEATON, IL 60187
Dupage County (630) 682-7400
EMILY BERNAS
Registered Nurse
111 N COUNTY FARM RD
WHEATON, IL 60187
Dupage County (630) 682-7400
JANET RODRIGUEZ
Case Manager/Care Coordinator
111 N COUNTY FARM RD
WHEATON, IL 60187
Dupage County (630) 682-7400
MONIQUE D COPPRUE
Counselor (Mental Health)
111 N COUNTY FARM RD
WHEATON, IL 60187
Dupage County (630) 682-7400
DR. HELEN DAVIS GARDNER M.D.
Psychiatry & Neurology (Psychiatry)
111 N COUNTY FARM RD
WHEATON, IL 60187
Dupage County (630) 969-7030
VNA HEALTH CARE
Clinic/Center (Federally Qualified Health Center (FQHC))
111 N COUNTY FARM RD
WHEATON, IL 60187
Dupage County (630) 978-2532
MARGUERITE MONACO
Case Manager/Care Coordinator
111 N COUNTY FARM RD
WHEATON, IL 60187
Dupage County (630) 682-7400
MARY PARKER
Registered Nurse
111 N COUNTY FARM RD
WHEATON, IL 60187
Dupage County (630) 682-7400

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 Traversa's NPI number?

The NPI number for Jacqueline Traversa is 1760057442. It was assigned to this individual provider in the NPPES registry on May 25, 2021.

Where is Jacqueline Traversa located?

Jacqueline Traversa practices at 111 N County Farm Rd, Wheaton, IL 60187. The listed phone number is (630) 682-7400.

What is Jacqueline Traversa's specialty?

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

Is Jacqueline Traversa enrolled in Medicare?

Yes. Jacqueline Traversa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Traversa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Traversa reassigns Medicare benefits to County Of Dupage Department Of Health (Wheaton, 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 Jacqueline Traversa'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 Jacqueline Traversa was last updated on May 25, 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.