JACQUELINE TRAVERSA
NPI 1760057442
Counselor in Wheaton, IL

Q: 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.

Q: What is Jacqueline Traversa's specialty?

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

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: August 16, 2026.

On this page

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 and is a graduate of Other (2008).

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

Medical School CMSOtherGraduated 2008

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

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Traversa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052828928

PECOS Enrollment IDI20250725002695

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 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