Provider Demographics
NPI:1649168840
Name:BARNETT, JENNA MARIE (LCPC)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:MARIE
Last Name:BARNETT
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3834 N NORA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-2319
Mailing Address - Country:US
Mailing Address - Phone:773-330-3604
Mailing Address - Fax:
Practice Address - Street 1:7366 N LINCOLN AVE STE 310
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1740
Practice Address - Country:US
Practice Address - Phone:312-772-3611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.017219101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health