Jennifer Lynn Hamilton, M.S. LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

180-003930 Issued in IL

Practice address

112 Boeykens PL
Suite 4a
Normal, IL 61761-2152

Phone

(309) 830-4553

NPI assigned

Jun 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Prairie Counseling Services

  • Professional Counselor
  • Bloomington, IL
  • NPI 1326430299
  NPD Authorized official

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1972547388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 KREITZER AVE",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617015637",
            "telephone_number": "309-830-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BOEYKENS PL",
            "address_2": "SUITE 4A",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617612152",
            "telephone_number": "309-830-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.S. LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180-003930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "04932460",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Hall, LPC
• Celeeste Hall, COTA/L
• Krystal Halliday, OTR/L
• Emily Hallstein
• Caroline M. Halperin, D.O.
• Robert Scott Hamilton, MD
• Nicholas C Hammers
• Hailey Danielle Hampton
• Hanger Prosthetics & Orthotics, Inc
• Audrey Jo Hansen, ATC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.