JESSICA CATHERINE RODRIGUEX WELLMAKER LCPC, ASOP
NPI 1952177461
Counselor - Professional in Mount Vernon, IL

Active since November 27, 2023PECOS Enrolled
1720 BROADWAY ST, MOUNT VERNON, IL 62864(408) 656-0623 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica Catherine Rodriguex Wellmaker Lcpc, Asop NPPES

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

JESSICA CATHERINE RODRIGUEX WELLMAKER LCPC, ASOP (NPI 1952177461) is an individual professional provider in Mount Vernon, Illinois, licensed in Illinois (180.015662) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1952177461
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA CATHERINE RODRIGUEX WELLMAKERCredential: LCPC, ASOP
Location Address1720 BROADWAY STMount Vernon, IL 62864-2930
Mailing Address906 Maple StMount Vernon, IL 62864-3547 · (408) 656-0623
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 27, 2023
Last NPPES UpdateNovember 28, 2023
NPPES CertifiedNovember 28, 2023
✔ NPI 1952177461 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 · 180.015662
1720 BROADWAY ST, Mount Vernon, IL 62864

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Catherine Rodriguex Wellmaker Lcpc, Asop is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022540780
PECOS Enrollment IDI20260227001718
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 Jessica Catherine Rodriguex Wellmaker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Idaho, Illinois and Indiana enrollments
  • 138 clinicians in this Medicare group

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 2

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

Dentist (General Practice)
1720 BROADWAY ST
MOUNT VERNON, IL 62864
Clinic/Center (Mental Health (Including Community Mental Health Center))
1720 BROADWAY ST
MOUNT VERNON, IL 62864

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 Jessica Catherine Rodriguex Wellmaker's NPI number?

The NPI number for Jessica Catherine Rodriguex Wellmaker is 1952177461. It was assigned to this individual provider in the NPPES registry on November 27, 2023.

Where is Jessica Catherine Rodriguex Wellmaker located?

Jessica Catherine Rodriguex Wellmaker practices at 1720 Broadway St, Mount Vernon, IL 62864. The listed phone number is (408) 656-0623.

What is Jessica Catherine Rodriguex Wellmaker's specialty?

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

Is Jessica Catherine Rodriguex Wellmaker enrolled in Medicare?

Yes. Jessica Catherine Rodriguex Wellmaker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Catherine Rodriguex Wellmaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Catherine Rodriguex Wellmaker reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Jessica Catherine Rodriguex Wellmaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Catherine Rodriguex Wellmaker accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, CareSource, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 2 other insurers list Jessica Catherine Rodriguex Wellmaker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Catherine Rodriguex Wellmaker was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.