Active NPI
Lenna Beth Burnett, LCPC
- Professional Counselor
- Monmouth, IL
National Provider Identifier
1043366495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180004706
- Practice address
- 301 Industrial Park Rd
Monmouth, IL 61462-9794 - Phone
- (309) 734-9461
- Fax
- (309) 734-3909
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180004706 | IL | Primary |
Addresses
Primary practice location
301 Industrial Park Rd
Monmouth, IL 61462-9794
Mailing address
2323 Windish Dr
Galesburg, IL 61401-9780
Phone (309) 344-2323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180004706 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252627200000",
"number": "1043366495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 WINDISH DR",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614019780",
"telephone_number": "309-344-2323",
"fax_number": "309-344-4368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 INDUSTRIAL PARK RD",
"city": "MONMOUTH",
"state": "IL",
"postal_code": "614629794",
"telephone_number": "309-734-9461",
"fax_number": "309-734-3909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "LENNA",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2009-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180004706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monmouth, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.