JESSICA MATA
NPI 1053126094
Counselor in Crystal Lake, IL
NPI Status: Active since February 07, 2025
Contact Information
800 S MCHENRY AVE STE F
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 526-3750
Fax: (815) 526-3440
- Individual
- Female
- Counselor
About JESSICA MATA
This page provides the complete NPI Profile along with additional information for Jessica Mata, a provider established in Crystal Lake, Illinois with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1053126094 assigned on February 2025. The practitioner's primary taxonomy code is 101Y00000X with license number 178.021255 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1053126094
- Provider Name
- JESSICA MATA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 800 S MCHENRY AVE STE F CRYSTAL LAKE, IL 60014
- Location Phone
- (815) 526-3750
- Location Fax
- (815) 526-3440
- Mailing Address
- 800 MCHENRY AVE. SUITE F CRYSTAL LAKE, IL 60014
- Mailing Phone
- (815) 526-3750
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-07-2025
- Last Update Date
- 02-07-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 178.021255
- License State
- IL
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 5 | 3 | 1 | 2 | 6 | 0 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 10 | 3 | 2 | 2 | 12 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 0 + 3 + 2 + 2 + 1 + 2 + 0 + 1 + 8 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1053126094 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1700334562 | REBEKAH KAIDER Individual | Counselor (Professional) | 800 S MCHENRY AVE STE F CRYSTAL LAKE, IL 60014 (815) 526-3750 |
| 1720501836 | SARAH VANMOFFAERT LPC Individual | Counselor (Professional) | 800 S MCHENRY AVE STE F CRYSTAL LAKE, IL 60014 (815) 526-3440 |
| 1205352978 | MARIA BIDELMAN Individual | Social Worker (Clinical) | 800 S MCHENRY AVE STE F CRYSTAL LAKE, IL 60014 (815) 526-3750 |
| 1528576584 | ASHLEY BURGER LCSW Individual | Social Worker (Clinical) | 800 S MCHENRY AVE STE F CRYSTAL LAKE, IL 60014 (815) 526-3750 |
| 1164907333 | SHEILA TANNER TANNER EGAN LCSW Individual | Social Worker (Clinical) | 800 S MCHENRY AVE STE F CRYSTAL LAKE, IL 60014 (815) 342-9786 |
| 1871131284 | JOSEPH PATRICK SEGOVIANO Individual | Counselor (Mental Health) | 800 S MCHENRY AVE STE F CRYSTAL LAKE, IL 60014 (224) 436-4741 |
| 1144993213 | KATHRYN FLERLAGE MA Individual | Counselor | 800 S MCHENRY AVE STE F CRYSTAL LAKE, IL 60014 (815) 526-3750 |
| 1457013088 | SUZANNE M SCHELLER Individual | Psychologist (Clinical) | 800 S MCHENRY AVE STE F CRYSTAL LAKE, IL 60014 (815) 526-3750 |
| 1821734070 | ASHLEY BERES Individual | Social Worker (Clinical) | 800 S MCHENRY AVE STE F CRYSTAL LAKE, IL 60014 (815) 526-3750 |
| 1205566767 | BECKY MCGARRY Individual | Counselor (Professional) | 800 S MCHENRY AVE STE F CRYSTAL LAKE, IL 60014 (815) 985-8603 |
| 1386371706 | MRS. SARA RENEE BRUGIONI LCSW Individual | Social Worker (Clinical) | 800 S MCHENRY AVE STE F CRYSTAL LAKE, IL 60014 (815) 546-7268 |
| 1548749708 | MS. MARYANN DOLEZAL LCPC Individual | Counselor (Professional) | 800 S MCHENRY AVE STE F CRYSTAL LAKE, IL 60014 (815) 342-9786 |
| 1205698156 | STEVEN J KNOPE Individual | Counselor (Mental Health) | 800 S MCHENRY AVE STE F CRYSTAL LAKE, IL 60014 (815) 526-3750 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053126094, enumerated in the NPI registry as an "individual" on February 07, 2025
The provider is located at 800 S Mchenry Ave Ste F Crystal Lake, Il 60014 and the phone number is (815) 526-3750
The provider's speciality is Counselor with taxonomy code 101Y00000X
This NPI record was last updated on February 07, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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