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

Elise Jacob

Individual provider Professional Counselor · NPI 1770116147

Elise Jacob is a Mental Health Counselor in Wilmette, Illinois. Qualified in 2015, 11 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2020
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Practice location Address checks out

3330 Old Glenview Rd Ste 15
Wilmette, IL 60091-2963
Phone: (847) 256-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 841 Rockbridge Dr, Naperville, IL 60540-8269 — (630) 286-9864

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180011684 (IL)

Record details

NPI number1770116147
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 13, 2020
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing address1552 South Route 59 Pmb 1195, Naperville, IL 60564-5941

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wilmette