Elizabeth Jeremiah, MA, QMHP, LCPC, LPHA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

180.009474 Issued in IL

Practice address

1161 Fortune Blvd Ste 400
Shiloh, IL 62269-7385

Phone

(618) 303-7544

Fax

(618) 206-8476

NPI assigned

Jan 27, 2015

Last updated

Jan 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1023408200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6432 HANCOCK AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631392033",
            "telephone_number": "618-303-7544",
            "fax_number": "618-206-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 FORTUNE BLVD STE 400",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697385",
            "telephone_number": "618-303-7544",
            "fax_number": "618-206-8476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Northgate Industrial Dr",
            "address_purpose": "LOCATION",
            "city": "Granite City",
            "state": "IL",
            "postal_code": "620406805",
            "country_code": "US",
            "telephone_number": "618-789-1959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEREMIAH",
        "first_name": "ELIZABETH",
        "credential": "MA, QMHP, LCPC, LPHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.009474",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.009474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• HSM Centers LLC (Covid Testing Station)
• Shiao-Yun Huang, DPT
• Meredith Hutton
• Ingram Counseling Services, LLC
• James Leon Jablonski II, M.D.
• Jennifer Jeanne Jouett, PA-C
• Julie L Weber Counseling Services, Inc
• Brooke Juneau, DMD
• Tina Marie Kampwerth, LCPC
• Christopher John Keck

• Counselor in Shiloh, IL
• Providers in Shiloh, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.