Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Scott Jack, MA

Individual provider Professional Counselor · NPI 1265864797

Andrew Scott Jack, MA is a Mental Health Counselor in Wheaton, Illinois. Qualified in 2014, 12 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2013
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

7 Blanchard Cir Ste 201
Wheaton, IL 60189-2039
Phone: (630) 653-2300
Fax: (630) 653-2895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 107 N Hale St, Wheaton, IL 60187-5117 — (630) 779-0974

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1265864797
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedAugust 7, 2013
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026
Mailing address1n002 Barry Ave, Wheaton, IL 60187-2920

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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