Jeanette W Georgen, MA, LCPC, ATR

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

10314 Lincoln TRL
Suite 101
Fairview Heights, IL 62208-1801

Phone

(618) 394-8952

Fax

(618) 394-8952

NPI assigned

Jun 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124065602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10314 LINCOLN TRL",
            "address_2": "SUITE 101",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081801",
            "telephone_number": "618-394-8952",
            "fax_number": "618-394-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10314 LINCOLN TRL",
            "address_2": "SUITE 101",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081801",
            "telephone_number": "618-394-8952",
            "fax_number": "618-394-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGEN",
        "first_name": "JEANETTE",
        "middle_name": "W",
        "credential": "MA, LCPC, ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATR",
            "identifier": "97-084",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• French Village Volunteer Fire Fighters, Inc
• Angela M. Froidcoeur, D.M.D.
• Faith Genevieve Fude, MS, RD, LD
• Kiyah Ann Galvin
• Linda Gamboa, M.S., CCC-SLP
• Matthew Michael Germann, PA-C
• Joshua Gibson, APRN FNP-C
• Malik Yusef Giddens, RBT
• Rachael Lyna Gillis, RBT
• Jennifer Glispie, PMHNP

• Professional Counselor in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.