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

Jessica Mata

Individual provider Counselor · NPI 1053126094

Jessica Mata is a Counselor in Crystal Lake, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

800 S McHenry Ave Ste F
Crystal Lake, IL 60014-7487
Phone: (815) 526-3750
Fax: (815) 526-3440
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 178.021255 (IL)

Record details

NPI number1053126094
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 7, 2025
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 6, 2025
Mailing address800 McHenry Ave., Suite F, Crystal Lake, IL 60014

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