JEANNE COULSON
NPI 1972959377
Counselor - Mental Health in Crystal Lake, IL

Active since May 04, 2016PECOS EnrolledAccepts Medicare Assignment
360 MEMORIAL DR STE 160, CRYSTAL LAKE, IL 60014(847) 754-7398 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeanne Coulson NPPES

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

JEANNE COULSON (NPI 1972959377) is an individual mental health provider in Crystal Lake, Illinois, licensed in Illinois (178011217) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1972959377
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJEANNE COULSON
Location Address360 MEMORIAL DR STE 160Crystal Lake, IL 60014-6203
Mailing Address638 Vine StHampshire, IL 60140-5620 · (847) 754-7394
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 4, 2016
Last NPPES UpdateSeptember 27, 2024
NPPES CertifiedSeptember 27, 2024
✔ NPI 1972959377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 178011217
360 MEMORIAL DR STE 160, Crystal Lake, IL 60014

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeanne Coulson 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 ID5092157602
PECOS Enrollment IDI20240529000860
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 Jeanne Coulson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
360 MEMORIAL DR
Crystal Lake, IL 60014
  • 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.

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 Jeanne Coulson's NPI number?

The NPI number for Jeanne Coulson is 1972959377. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Jeanne Coulson located?

Jeanne Coulson practices at 360 Memorial Dr Ste 160, Crystal Lake, IL 60014. The listed phone number is (847) 754-7398.

What is Jeanne Coulson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jeanne Coulson enrolled in Medicare?

Yes. Jeanne Coulson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jeanne Coulson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanne Coulson reassigns Medicare benefits to Real Life Counseling, PLLC (Crystal Lake, 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 Jeanne Coulson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeanne Coulson accept?

Health plans from MercyCare Health Plans list Jeanne Coulson 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 Jeanne Coulson was last updated on September 27, 2024. 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.