Jacquelyn Eileen Augustine, PSY.D.
NPI 1619286986ActiveIndividual· Counselor· Naperville, IL
Opted out of Medicare from February 2016 to February 2028. Counselor (PSY.D.) in Naperville, Illinois, licensed in IL, with an NPI issued in October 2010.
Overview
| NPI | 1619286986 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | Oct 4, 2010 |
| Last updated in NPPES | Jan 17, 2022 |
| Certified by provider | Jan 17, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | — | — |
| Psychologist, Clinical | 103TC0700X | 071008317 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Feb 5, 2016 – Feb 5, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
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