Jorge Roman

Mental Health Counselor | 6+ years Exp


  650 Dakota St Ste A, Crystal Lake
     Illinois, 60012-3744
  815-334-5018    815-356-1104 Maps & Directions
Jorge Roman is a Crystal Lake, Illinois based counselor with 6 years of experience in Mental Health Counselor. He completed his graduation from Other in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jorge Roman is 149023741 for Social Worker in Illinois. His current practice location is 650 Dakota St Ste A, Crystal Lake. Patients can book an appointment with him at 815-334-5018.
Jorge Roman is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Jorge Roman speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Name: Jorge Roman
Specialization: Mental Health Counselor
Gender:Male
Experience: 6+ years
Medical School Attended:Other
Graduation Year:2019
Accepts Medicare Assignment:Yes
Practice Address:650 Dakota St Ste A, Crystal Lake,
Illinois, 60012-3744
Phone:815-334-5018
Fax:815-356-1104
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 6507263084
Enrollment ID: I20210927001039
NPI Number: 1003343096
NPI Enumeration Date: 22 May, 2017
NPI Last Update On: 12 Apr, 2022

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jorge Roman are as mentioned below.
License NumberSpecializationStateStatus
149023741Social Worker IllinoisPrimary
Mental Health Counselor Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jorge Roman is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Central Dupage Physician Group (5890696231)1039
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS He does not participate in the Physician Quality Reporting System Incentive Program.
EHR He does not participate in the Electronic Health Record Incentive Program.
MHI He does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 650 Dakota St Ste A,
Crystal Lake, Illinois
Zip: 60012-3744
Phone Number: 815-334-5018
Fax Number: 815-356-1104
Patients can reach Jorge Roman at 650 Dakota St Ste A, Crystal Lake, Illinois or can call to book an appointment on 815-334-5018.
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.

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