Donald J. Emerson, LPC
Individual provider Active NPI Professional Counselor · Watseka, IL
NPI 1346586484 · NPPES record last updated Dec 18, 2012
Key facts
- NPI
- 1346586484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 178008366 (IL)
- Practice address
- 323 W Mulberry St
Watseka, IL 60970-1568 - Phone
- (815) 432-5241
- Fax
- (815) 432-4537
- NPI assigned
- Dec 18, 2012
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178008366 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178008366 | IL | Yes |
Addresses
Primary practice location
323 W Mulberry St
Watseka, IL 60970-1568
Mailing address
323 W Mulberry St
PO Box 322
Watseka, IL 60970-1568
Other providers in Watseka, IL
- Randy Gene Dowdell
- DRS. Martin & Rose
- Dsi Watseka Operator LLC
- Rebecca Eimer
- Daniel Ellis
- Jill Erickson
- Kristen Renee Esquivel
- Terri Fanning
- Heather Fletcher
- Angelita Fontanilla
All providers in Watseka, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2012. 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.