Jeanne Louise Lambrecht, PH.D.
Individual provider Active NPI Professional Counselor · Ellsworth, IL
NPI 1346539731 · NPPES record last updated May 18, 2011
Key facts
- NPI
- 1346539731
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180007842 (IL)
- Practice address
- 26152 E 1300 North Rd
Ellsworth, IL 61737-9526 - Phone
- (309) 533-2147
- NPI assigned
- Apr 6, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180007842 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180007842 | IL | Yes |
| Counseling Psychologist | 103TC1900X |
Addresses
Primary practice location
26152 E 1300 North Rd
Ellsworth, IL 61737-9526
Mailing address
26152 E 1300 North Rd
Ellsworth, IL 61737-9526
Phone (309) 533-2147
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.