JENNIFER M REILLEY
NPI 1962911297
Counselor - Professional in Chicago, IL

Active since September 29, 2017Opted out of Medicare · through Jan 1, 2028
1 E SUPERIOR ST STE 410, CHICAGO, IL 60611(630) 606-2569 Get Directions Write a Review

NPPES record last updated: September 29, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer M Reilley NPPES

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

JENNIFER M REILLEY (NPI 1962911297) is an individual professional provider in Chicago, Illinois, licensed in Illinois (178009882) and active in the NPI registry since September 2017. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1962911297
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER M REILLEY
Location Address1 E SUPERIOR ST STE 410Chicago, IL 60611-2596
Mailing Address10849 S Hamlin AveChicago, IL 60655-3916 · (630) 606-2569
Sole ProprietorNo
Enumeration DateSeptember 29, 2017
NPI 1962911297 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 · 178009882
1 E SUPERIOR ST STE 410, Chicago, IL 60611

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jennifer M Reilley has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Jennifer Reilley's NPI number?

The NPI number for Jennifer Reilley is 1962911297. It was assigned to this individual provider in the NPPES registry on September 29, 2017.

Where is Jennifer Reilley located?

Jennifer Reilley practices at 1 E Superior St Ste 410, Chicago, IL 60611. The listed phone number is (630) 606-2569.

What is Jennifer Reilley's specialty?

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

Is Jennifer Reilley enrolled in Medicare?

No. Jennifer Reilley has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Reilley was last updated on September 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.