Jennea Aileen Klingenberg, PSYD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1709 Trails Dr
Urbana, IL 61802-7826

Phone

(773) 842-9520

NPI assigned

Feb 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jennea Aileen Bivens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1255925434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 TRAILS DR",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618027826",
            "telephone_number": "773-842-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 TRAILS DR",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618027826",
            "telephone_number": "773-842-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGENBERG",
        "first_name": "JENNEA",
        "middle_name": "AILEEN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNEA",
            "last_name": "BIVENS",
            "middle_name": "AILEEN",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James R Klein, LCPC
• David Kleiss, CRNA
• Katheryn Kleiss, MA, CCC SLP
• Nancy C. Klemm, NP
• Joanna Kling, M.ED., LCPC
• Tiffany Kloeppel, CRNA
• Delbert Craig Klump, M.D.
• Napoleon B Knight, MD
• Robert John Knight, M.D.
• Walter Knoll, DO

• Professional Counselor in Urbana, IL
• Providers in Urbana, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.