ELISE JACOB
NPI 1770116147
Counselor - Professional in Wilmette, IL

Q: What is Elise Jacob's NPI number?

The NPI number for Elise Jacob is 1770116147. It was assigned to this individual provider in the NPPES registry on February 13, 2020. The provider is also known as Elise Roug.

Q: What is Elise Jacob's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elise Jacob was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since February 13, 2020PECOS EnrolledAccepts Medicare Assignment

3330 OLD GLENVIEW RD STE 15, WILMETTE, IL 60091(847) 256-2000 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 23, 2026, Feb 13, 2020 (2 updates tracked since 2020).

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About Elise Jacob NPPES

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

ELISE JACOB (NPI 1770116147) is an individual professional provider in Wilmette, Illinois, licensed in Illinois (180011684) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Naperville, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1770116147

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameELISE JACOB

Location Address3330 OLD GLENVIEW RD STE 15Wilmette, IL 60091-2963

Mailing Address1552 South Route 59 Pmb 1195Naperville, IL 60564-5941 · (630) 286-9864

Phone(847) 256-2000

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 13, 2020

Last NPPES UpdateApril 23, 20262 updates tracked since enumeration

NPPES CertifiedApril 23, 2026

✔ NPI 1770116147 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 · 180011684

3330 OLD GLENVIEW RD STE 15, Wilmette, IL 60091

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Other Names 1

Former Name (1)Elise Roug

Secondary Practice Location 1

Location 1841 Rockbridge DrNaperville, IL 60540-8269 · Phone (630) 286-9864

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elise Jacob is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294203238

PECOS Enrollment IDI20260507001946

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 7

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

NICOLE HELEN LEVAND

Social Worker