Amanda L. Bloemer
Individual provider Active NPI Mental Health Counselor · Watseka, IL
NPI 1972826592 · NPPES record last updated Mar 10, 2010
Key facts
- NPI
- 1972826592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 322 W Mulberry St
Watseka, IL 60970-1542 - Phone
- (815) 432-5241
- Fax
- (815) 432-4537
- NPI assigned
- Mar 10, 2010
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
322 W Mulberry St
Watseka, IL 60970-1542
Mailing address
322 W Mulberry St
Watseka, IL 60970-1542
Phone (815) 432-5241
Other providers in Watseka, IL
- Brooke Beaupre
- M. Hytham Beck
- Lara M Bergstedt
- Kashyap S Bhatt
- Traci Lynn Bishop
- Tiffany Ann Bohlmann
- Sloan Boyce
- Kawanna Brooks
- Gretchen Brosseau
- Miragene Brosseau
All providers in Watseka, 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 Mar 10, 2010. 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.