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

Jacqueline Traversa

Individual provider Counselor · NPI 1760057442

Jacqueline Traversa is a Mental Health Counselor in Wheaton, Illinois. Qualified in 2008, 18 years ago. Registered with an NPI since 2021.

Years since qualifying
18
In the registry since
2021

Practice location Address checks out

111 N County Farm Rd
Wheaton, IL 60187-3977
Phone: (630) 682-7400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1760057442
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 25, 2021
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021
Mailing address111 N County Farm Rd, Wheaton, IL 60187-3977

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated

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