Jessica Munton, MRC CRC LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

180.009155 Issued in IL

Practice address

12 N 64TH St
Belleville, IL 62223-3809

Phone

(618) 397-0900

NPI assigned

Jun 19, 2014

Last updated

Nov 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1629482484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 N 64TH ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233809",
            "telephone_number": "618-397-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N 64TH ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233809",
            "telephone_number": "618-397-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNTON",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "MRC CRC LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.009155",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.001955",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Lee Mueth, M.P.T.
• Sarah Mueth
• Terry Nicholas Mueth, LPC
• Sally Jane Muich, NP
• Christy Muldrew
• Alexis Lore Murphy-Furlough, MS
• Christopher Murphy, M.D.
• Murray Freedom Counseling PLLC
• Megan Murray, DPT
• Daniel Musenbrock, MS,PT,CSCS

• Counselor in Belleville, IL
• Providers in Belleville, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.