Jamie Sue Stevens
Individual provider Active NPI Professional Counselor · Champaign, IL
NPI 1356975643 · NPPES record last updated Feb 26, 2020
Key facts
- NPI
- 1356975643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 201 W Springfield Ave Ste 208
Champaign, IL 61820-4875 - Phone
- (217) 621-8533
- NPI assigned
- Feb 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamie Stevens Counseling Group PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
201 W Springfield Ave Ste 208
Champaign, IL 61820-4875
Mailing address
2501 Curtis Rd
Champaign, IL 61822-9630
Phone (217) 621-8533
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jamie@tworoadswellnessclinic.com | Health Information Exchange (HIE) |
Other providers in Champaign, IL
- Emily Stephenson
- Jennifer Lynn Stern
- Keith A Sternhagen
- Trisha C Stetzler
- Steven W Seibert DMD, LTD
- Deborah L Stewart
- Elise Stewart
- Sarah Elizabeth Stickrod
- Stillwater Mental Health Services PLLC
- Matthew Scott Stinson
All providers in Champaign, 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 Feb 26, 2020. 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.