TEKOA JADDUA LPC
NPI 1811485915
Counselor - Professional in Chicago, IL

Active since April 25, 2018PECOS Enrolled
5414 W DIVISION ST, CHICAGO, IL 60651(773) 870-0607 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 16, 2023, Sep 25, 2018, Apr 25, 2018 (3 updates tracked since 2018).

About Tekoa Jaddua Lpc NPPES

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

TEKOA JADDUA LPC (NPI 1811485915) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.011949) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1811485915
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTEKOA JADDUACredential: LPC
Location Address5414 W DIVISION STChicago, IL 60651-1311
Mailing Address5414 W Division StChicago, IL 60651-1311 · (773) 870-0607
Sole ProprietorYes
Enumeration DateApril 25, 2018
Last NPPES UpdateAugust 16, 20233 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
NPI 1811485915 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 · 180.011949
5414 W DIVISION ST, Chicago, IL 60651

Secondary Practice Location 1

Location 11706 N Kedzie AveChicago, IL 60647-4910 · Phone (773) 862-2279

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tekoa Jaddua Lpc 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.

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 Tekoa Jaddua's NPI number?

The NPI number for Tekoa Jaddua is 1811485915. It was assigned to this individual provider in the NPPES registry on April 25, 2018.

Where is Tekoa Jaddua located?

Tekoa Jaddua practices at 5414 W Division St, Chicago, IL 60651. The listed phone number is (773) 870-0607.

What is Tekoa Jaddua's specialty?

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

Is Tekoa Jaddua enrolled in Medicare?

Yes. Tekoa Jaddua is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tekoa Jaddua was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.