Jennifer Mann, LCSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

149015726 Issued in IL

Practice address

1200 Hamilton Blvd
Peoria, IL 61606-1525

Phone

(309) 671-4681

Fax

(309) 589-7981

NPI assigned

Feb 26, 2013

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jenny Evans Counseling, LLC

  • Clinical Social Worker
  • Peoria, IL
  • NPI 1669245569
  NPD

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1942540109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HAMILTON BLVD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616061525",
            "telephone_number": "309-671-4681",
            "fax_number": "309-589-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HAMILTON BLVD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616061525",
            "telephone_number": "309-671-4681",
            "fax_number": "309-589-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "149015726",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149015726",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ryan Mandrell, APRN
• James R Mangerson, PA-C
• Madeline Mangieri, M.S. CCC-SLP/L
• Aleena E Mangold
• Robin L Maniurski, MD
• Wayne Kenneth Manness, MD
• Kristen L Manning, CRNA
• Haig Hagop Manougian, M.D.
• Maryah Mansoor, MD
• Sarah Manzoor, MD

• Addiction (Substance Use Disorder) Counselor in Peoria, IL
• Providers in Peoria, IL by specialty
• Addiction (Substance Use Disorder) Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.