Provider Demographics
NPI:1679034581
Name:ROSSI, JESSICA J (LCPC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:J
Last Name:ROSSI
Suffix:
Gender:
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 SIOUX DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-2246
Mailing Address - Country:US
Mailing Address - Phone:224-566-1492
Mailing Address - Fax:
Practice Address - Street 1:604 SIOUX DR
Practice Address - Street 2:
Practice Address - City:NORTH BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-2246
Practice Address - Country:US
Practice Address - Phone:224-566-1492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-26
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.016742101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional