Jenny Lea Buchanan, MS QMHP
Individual provider Active NPI Mental Health Counselor · Beardstown, IL
NPI 1629587290 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1629587290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 121 E 2ND St
Beardstown, IL 62618-1263 - Phone
- (217) 323-2980
- Fax
- (217) 323-3731
- NPI assigned
- Sep 26, 2017
- 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
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
121 E 2ND St
Beardstown, IL 62618-1263
Mailing address
121 E 2ND St
Beardstown, IL 62618-1263
Phone (217) 323-2980
Other providers in Beardstown, IL
- Beth M Blankenship
- Tanya Boyd
- Tobi Brackett
- Bridgeview Housing Corporation
- Sarah Marie Brockhouse
- Jackson Canter
- Rebecca Ann Canter
- Breanna Lee Carter
- Cass County Mental Health
- Cass County Mental Health
All providers in Beardstown, IL · Mental Health 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 Jul 21, 2022. 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.