DR. JEANINE R STANDARD PH D LCPC
NPI 1790888311
Psychologist in Peoria, IL
About Dr. Jeanine R Standard Ph D Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEANINE R STANDARD PH D LCPC (NPI 1790888311) is an individual psychologist in Peoria, Illinois and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jeanine R Standard Ph D Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeanine Standard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Canton, IL 61520
- Reassigned Medicare billing, Illinois enrollment
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.
PEORIA, IL 61615
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 Jeanine Standard's NPI number?
The NPI number for Jeanine Standard is 1790888311. It was assigned to this individual provider in the NPPES registry on September 7, 2006.
Where is Jeanine Standard located?
Jeanine Standard practices at 6615 N Big Hollow Rd, Peoria, IL 61615. The listed phone number is (309) 692-6622.
What is Jeanine Standard's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Jeanine Standard enrolled in Medicare?
Yes. Jeanine Standard is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeanine Standard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeanine Standard reassigns Medicare benefits to Jeanine Standard Metamorphosis Inc (Canton, 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 Jeanine Standard'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 Jeanine Standard was last updated on December 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.