MEDICARE: JESSICA DEERING LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	178.022339	IL

General Provider Information

NPI Number	:	1922957182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA DEERING LPC

Provider Business Mailing Address
First Line	:	1438 W BELMONT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-2150
Country	:	US
Telephone Number	:	312-508-3645
Fax Number	:

Provider Business Practice Location Address
First Line	:	180 W CAMPBELL ST
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-1410
Country	:	US
Telephone Number	:	847-750-4639
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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