Dr Jenna Lauren Bauer, PSYD is a
Psychologist - Clinical based in Chicago, Illinois. Dr Jenna Lauren Bauer is licensed to practice in Illinois (license number 071.008558) and her current practice location is
2858 W Diversey Ave Ste 1, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(872) 208-8833.
NPI number for Dr Jenna Lauren Bauer is 1255524104 and her current mailing address is 901 Stonegate Dr, Highland Park, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255524104.
Healthcare Provider's Profile
| Full Name | Dr Jenna Lauren Bauer |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 2858 W Diversey Ave Ste 1, Chicago, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255524104
- Provider Enumeration Date: 08/23/2007
- Last Update Date: 01/30/2026
Medical Identifiers
Medical identifiers for Dr Jenna Lauren Bauer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255524104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071.008558 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jenna Lauren Bauer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Jenna Lauren Bauer, PSYD 901 Stonegate Dr, Highland Park, IL 60035-5146 Ph: (872) 208-8833 | Dr Jenna Lauren Bauer, PSYD 2858 W Diversey Ave Ste 1, Chicago, IL 60647-1871 Ph: (872) 208-8833 |
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