Elaine A Humphrey, LCPC
Individual provider Active NPI Professional Counselor · Kewanee, IL
NPI 1457533994 · NPPES record last updated Apr 20, 2009
Key facts
- NPI
- 1457533994
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180 001100 (IL)
- Practice address
- 137 E College St
Kewanee, IL 61443 - Phone
- (309) 852-4331
- NPI assigned
- Nov 27, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180 001100 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180 001100 | IL | Yes |
Addresses
Primary practice location
137 E College St
Kewanee, IL 61443
Mailing address
100 S College Ave
Genesco, IL 61254
Phone (309) 944-3203
Other names
- Elaine A Belokon
Other providers in Kewanee, IL
- Highland Park CVS LLC
- Chloe Hinojosa
- Emily M Holton
- Ned B Hubbard
- Michael Huggins
- Paige Elizabeth Humphrey
- Hannah Hutton
- Illinois Medicaid- Substance Abuse Kewanee
- J & S Kelly LLC
- Johnson Chiropractic Clinic, P.C.
All providers in Kewanee, 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 Apr 20, 2009. 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.