Janene Purdon Menke, DEVELOPMENTAL THERAP

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2035 West Isles
Springfield, IL 62704

Phone

(217) 726-1946

NPI assigned

Oct 26, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1679873475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5551 HOGAN RD",
            "city": "AUBURN",
            "state": "IL",
            "postal_code": "626159645",
            "telephone_number": "217-741-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 WEST ISLES",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62704",
            "telephone_number": "217-726-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENKE",
        "first_name": "JANENE",
        "middle_name": "PURDON",
        "credential": "DEVELOPMENTAL THERAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Artemio David Mendoza Estrada, RBT
• Julio Cesar Mendoza Estrada, DO
• Isis Mendoza-Garnica, L.C.P.C.
• Meaghan Mendoza, DO
• Philip B Meng, CRNA
• Mental Health Centers of Central Illinois
• Mental Health Centers of Central Illinois
• Mental Health Centers of Central Illinois
• Mental Health Centers of Central Illinois
• Mental Health Centers of Central Illinois

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.