Clare Steven Gramley, LCPC
Individual provider Active NPI Professional Counselor · Lincoln, IL
NPI 1629340302 · NPPES record last updated Jan 27, 2012
Key facts
- NPI
- 1629340302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180.001549 (IL)
- Practice address
- 1700 N Jefferson St
Lincoln, IL 62656-1047 - Phone
- (217) 732-6225
- Fax
- (217) 732-7272
- NPI assigned
- Jan 27, 2012
- Sex
- Male
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.001549 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Pastoral Counseling Services, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.001549 | IL | Yes |
Addresses
Primary practice location
1700 N Jefferson St
Lincoln, IL 62656-1047
Mailing address
PO Box 441
Lincoln, IL 62656-0441
Phone (217) 732-6225
Other providers in Lincoln, IL
- Brian D. Gazdziak
- Tyler J Gehlbach
- Generations at Lincoln, LLC
- Julie A Gifford
- Jennifer L Gilstrap
- Beth Ann Graves
- Kristen Green
- Rebekah Greenslaugh
- Hannah Griffin
- Leroy Steven Gurga
All providers in Lincoln, 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 Jan 27, 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.